| Coast Hand Therapy, Inc. | |
|
1105 39th Ave, Gulfport, MS 39501-2654 | |
| (228) 575-4654 | |
| (228) 575-4651 |
| Full Name | Coast Hand Therapy, Inc. |
|---|---|
| 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 |
|---|---|
| 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 | |
The Site For Pediatric Occupational 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 |