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Individual

RHONDA PIERCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2210 MILL STREET EXT STE B, LUCEDALE, MS 39452-6079
(601) 947-9005
(301) 947-9007
Mailing address
PO BOX 8419, BILOXI, MS 39535-8087
(228) 388-5714
(228) 388-0017

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28222
FL
225100000X
Physical Therapist
PT4492
MS
225100000X
Physical Therapist
PTH4773
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015077
MS
01
1003819608
GROUP NPI
AL
01
1033218524
GROUP NPI
MS
01
529917620
GROUP MEDICAID
AL
01
K531
GROUP MEDICARE
AL
Enumeration date
05/18/2007
Last updated
05/17/2022
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