Organization
CENTRIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DANIEL BOYD (OWNER/ PHYSICAL THERAPIST)
(985) 788-8007
Entity
Organization
Contact information
Practice address
16120 LANDON RD, GULFPORT, MS 39503-6119
(985) 788-8007
Mailing address
11532 COLEMAN RD, GULFPORT, MS 39503-4140
(985) 445-6856
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT3577
MS
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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