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
250 BEAUVOIR RD STE 5, BILOXI, MS 39531-4026
(228) 223-6142
Mailing address
1500 45TH AVE STE B, GULFPORT, MS 39501-3714
(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
—
09936268
—
MS
Enumeration date
10/19/2006
Last updated
08/22/2020
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