Organization
INNOVATIVE THERAPIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN CAIN (OWNER)
(228) 832-6221
Entity
Organization
Contact information
Practice address
12303 HIGHWAY 49, GULFPORT, MS 39503-2780
(228) 832-6221
(228) 832-4033
Mailing address
12303 HIGHWAY 49, GULFPORT, MS 39503-2780
(228) 832-6221
(228) 832-4033
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
MS
225100000X
Physical Therapist
Primary
—
MS
225200000X
Physical Therapy Assistant
—
MS
225X00000X
Occupational Therapist
—
MS
235Z00000X
Speech-Language Pathologist
—
MS
Other
Enumeration date
03/26/2007
Last updated
06/21/2018
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