Organization
GULF COAST PHYSICAL THERAPY CENTERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH J ACKERMAN PT (PRESIDENT)
(228) 822-9066
Entity
Organization
Contact information
Practice address
9471 THREE RIVERS RD, UNIT D, GULFPORT, MS 39503-4230
(228) 822-9066
(228) 822-9722
Mailing address
PO BOX 3238, GULFPORT, MS 39505-3238
(228) 822-9066
(228) 822-9722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015748
—
MS
Enumeration date
10/19/2006
Last updated
10/30/2015
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