Individual
ELIZABETH E EDMISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2900 GOVERNMENT ST STE A, OCEAN SPRINGS, MS 39564-5647
(228) 238-7714
(855) 958-5398
Mailing address
607 RUE DAUPHINE, OCEAN SPRINGS, MS 39564-3022
(228) 238-7714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT2741
ME
225100000X
Physical Therapist
Primary
PT4461
MS
Other
Enumeration date
03/29/2006
Last updated
11/10/2020
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