Organization
COASTAL PLAINS INTERAGENCY COORDINATING COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY BURCHFIELD ROWE PT (CHAIRPERSON)
(228) 896-2824
Entity
Organization
Contact information
Practice address
4063 GINGER DRIE, SUITE A, D'LBERVILLE, MS 39540-3705
(228) 896-2824
(228) 896-2825
Mailing address
4063 GINGER DRIE, SUITE A, D'LBERVILLE, MS 39540-3705
(228) 896-2824
(228) 896-2825
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT0399
MS
Other
Enumeration date
11/15/2009
Last updated
08/16/2019
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