Mark Orson Harris PT

NPI 1063805240 - Physical Therapist - 2251G0304X

NPI Details
NPI 1063805240
Gender Male
Enumeration Date 03/11/2015
Last Updated 03/11/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
15476A DEDEAUX RD
GULFPORT MS, 39503-2637, US
Phone (228) 539-3232
Fax
Business Location
106 OAKS BLVD
BAY ST LOUIS MS, 39520-3016, US
Phone (228) 216-2408
Fax
Toxanomy
Taxonomy Code 2251G0304X
License State Mississippi
License Number PT3297
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According to our database, Mr. Mark Orson Harris PT NPI is 1063805240, taxonomy code is 2251G0304X and license number is PT3297, license state is located at Mississippi. Mark Orson Harris PT physically located at 15476a Dedeaux Rd, Gulfport MS, 39503-2637. NPI Number Mark Orson Harris PT has the Individual type.

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1063805240 NPI number is provided on an as is basis without warranty of any kind. 1063805240 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Orson Harris PT are for informational purposes only.