Organization
GULF COAST PHYSICAL THERAPY CENTERS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL N PHILLIPS PT (SECRETARY)
(228) 864-1212
Entity
Organization
Contact information
Practice address
2781 C T SWITZER SR DR, STE 403, BILOXI, MS 39531-4536
(228) 864-1212
(228) 868-2323
Mailing address
PO BOX 3238, GULFPORT, MS 39505-3238
(228) 864-1212
(228) 868-2323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015750
—
MS
Enumeration date
10/19/2006
Last updated
04/29/2009
Update your record
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