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2525 Highway 90 Ste 11, Gautier, MS 39553-5247 | |
(228) 313-5305 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 2525 Highway 90 Ste 11, Gautier, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902476625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Frances Palazzolo |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447786363 PECOS PAC ID: 7810391851 Enrollment ID: I20210901003238 |
Provider Name | Hannah Lanelle Warren |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205500774 PECOS PAC ID: 2163814187 Enrollment ID: I20220124001858 |
Mailing Address | Practice Location Address |
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2525 Highway 90 Ste 11, Gautier, MS 39553-5247 Ph: (228) 417-5205 | 2525 Highway 90 Ste 11, Gautier, MS 39553-5247 Ph: (228) 313-5305 |