Individual
REBECCA MELISSA SUYDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
334 COURTHOUSE RD, GULFPORT, MS 39507-1807
(228) 896-1189
(228) 896-9989
Mailing address
PO BOX 8419, BILOXI, MS 39535-8087
(228) 388-5714
(228) 388-0017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4814
MS
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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