Organization
LIGHTHOUSE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT H. CAMERON (CHIEF OPERATIONS OFFICER)
(228) 348-0694
Entity
Organization
Contact information
Practice address
8905 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-4419
(228) 875-5447
(228) 875-5448
Mailing address
5703 GULF TECH DR, OCEAN SPRINGS, MS 39564-8238
(228) 875-5447
(228) 875-5448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/17/2018
Last updated
01/31/2023
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