Organization
PHYSICAL THERAPY CLINIC OF GULFPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN W HOLLAND P.T. (PHYSICAL THERAPIST, OWNER)
(228) 863-0200
Entity
Organization
Contact information
Practice address
3506 WASHINGTON AVE, STE. D, GULFPORT, MS 39507-3103
(228) 863-0200
(228) 863-0809
Mailing address
3506 WASHINGTON AVE, STE. D, GULFPORT, MS 39507-3103
(228) 863-0200
(228) 863-0809
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT1574
MS
Other
Enumeration date
07/13/2006
Last updated
07/02/2008
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