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General NPI Number Information
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NPI Number | 1578647780
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY CENTER OF OCEAN SPRINGS, LLC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 900 HOLCOMB BLVD STE A
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564
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Country | US
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Telephone | 228-872-6821
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Fax | 228-872-6891
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Provider Business Mailing Address
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Address Line | PO BOX 96219
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City | PHOENIX
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State | AZ
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Zip | 85072-6219
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Country | US
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Telephone | 228-872-6821
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Fax | 228-872-6891
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | ANNA GAYLORD
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Credential |
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Telephone | 678-837-7176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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