Coast Hand Therapy, Inc. | |
1105 39th Ave, Gulfport, MS 39501-2654 | |
(228) 575-4654 | |
(228) 575-4651 |
Full Name | Coast Hand Therapy, Inc. |
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Type | Facility |
Speciality | Occupational Therapist - Hand |
Location | 1105 39th Ave, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023055415 | NPI | - | NPPES |
09382312 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | OT0116 (Mississippi) | Primary |
Provider Name | Joseph Albert Church |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265470744 PECOS PAC ID: 9739191883 Enrollment ID: I20060608000217 |
Mailing Address | Practice Location Address |
---|---|
Coast Hand Therapy, Inc. 1105 39th Ave, Gulfport, MS 39501-2654 Ph: (228) 575-4654 | Coast Hand Therapy, Inc. 1105 39th Ave, Gulfport, MS 39501-2654 Ph: (228) 575-4654 |
Jessica Carter, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8950 Lorraine Rd Ste C, Gulfport, MS 39503 Phone: 228-355-9946 | |
Spot Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8950 Lorraine Rd Ste C, Gulfport, MS 39503 Phone: 228-355-9946 | |
Christine R Ackerman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9471 Three Rivers Rd Ste D, Gulfport, MS 39503 Phone: 228-822-9066 Fax: 228-822-9722 | |
Samantha C Pierce, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 15476 Dedeaux Rd, Gulfport, MS 39503 Phone: 228-230-2663 | |
David Grizzard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1800 Beach Dr, Gulfport, MS 39507 Phone: 228-897-4452 Fax: 228-897-4481 | |
Caitlyn R Burgess, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12311 Ashley Dr Ste A, Gulfport, MS 39503 Phone: 662-349-8787 Fax: 662-349-8757 |