Wellness Physical Therapy Of Diamondhead

NPI 1598001307 - Clinic/Center - 261QP2000X

NPI Details
NPI 1598001307
Enumeration Date 12/26/2012
Last Updated 12/26/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JOHN BRAD JOHN
Position CFO/OWNER
Phone (985) 649-6577
Fax (985) 649-7615
Practice Location
1053 TINA LADNER VIC FAYE RD
PASS CHRISTIAN MS, 39571-8920, US
Phone (985) 649-6577
Fax (985) 649-7615
Business Location
1311 GAUSE BLVD
SLIDELL LA, 70458-3015, US
Phone (985) 649-6577
Fax (985) 649-7615
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
Remove 1598001307 NPI Number
 

According to our database, Wellness Physical Therapy Of Diamondhead NPI is 1598001307, taxonomy code is 261QP2000X Wellness Physical Therapy Of Diamondhead physically located at 1053 Tina Ladner Vic Faye Rd, Pass Christian MS, 39571-8920. NPI Number 1033115704 has the healthcare provider type.

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1598001307 NPI number is provided on an as is basis without warranty of any kind. 1598001307 is maintained by the National Plan & Provider Enumeration System. The contents of Wellness Physical Therapy Of Diamondhead are for informational purposes only.