Individual
JOHN CHESTER EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
926 JACKSON AVE, PASCAGOULA, MS 39567-4345
(228) 762-0151
(228) 762-0171
Mailing address
926 JACKSON AVE, PASCAGOULA, MS 39567-4345
(228) 762-0151
(228) 762-0171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0492
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124290
—
MS
Enumeration date
08/28/2006
Last updated
07/08/2007
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