Organization
COASTAL THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY WALKER ELKINS (OTR/L)
(228) 467-6955
Entity
Organization
Contact information
Practice address
1 WOOD PL, BAY ST LOUIS, MS 39520-2836
(228) 216-5381
(228) 447-2890
Mailing address
1 WOOD PL, BAY ST LOUIS, MS 39520-2836
(228) 216-5381
(228) 447-2890
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0022
MS
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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