Individual
MICHAEL OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2A PASS RD, GULFPORT, MS 39507-3201
(228) 896-1189
(228) 896-9989
Mailing address
42465 HIGHWAY 195, HALEYVILLE, AL 35565-7052
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7776
MS
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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