Organization · Type 2 NPI
Coastal Plains Interagency Coordinating Council
Pediatric Physical Therapist · D'lberville, MS
Practice location
4063 Ginger Drie, Suite A
D'lberville, MS 39540-3705
Fax (228) 896-2825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT0399 (MS) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1962739722
Coastal Plains Interagency Coordinating Council's National Provider Identifier is 1962739722, issued on Nov 15, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in D'lberville, MS. The record was last updated on Aug 16, 2019.