Caitlyn R Burgess, OT | |
12311 Ashley Dr Ste A, Gulfport, MS 39503-2950 | |
(662) 349-8787 | |
(662) 349-8757 |
Full Name | Caitlyn R Burgess |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 12311 Ashley Dr Ste A, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114448594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT3368 (Mississippi) | Primary |
Provider Name | Drayer Physical Therapy Mississippi Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952732448 PECOS PAC ID: 3274834858 Enrollment ID: O20160314001040 |
Mailing Address | Practice Location Address |
---|---|
Caitlyn R Burgess, OT 12311 Ashley Dr Ste A, Gulfport, MS 39503-2950 Ph: (662) 349-8787 | Caitlyn R Burgess, OT 12311 Ashley Dr Ste A, Gulfport, MS 39503-2950 Ph: (662) 349-8787 |
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