Coastal Plains Interagency Coordinating Council
NPI #1962739722 in D'lberville, Mississippi
Provider Information
- NPI Number
- 1962739722
- Entity Type
- Organization
- Organization Name
- Coastal Plains Interagency Coordinating Council
- Primary Specialty
- Physical Therapist - Pediatrics
- Enumeration Date
- Nov 15, 2009
- Last Updated
- Aug 16, 2019
Practice Location
- Address
- 4063 GINGER DRIE
- Address 2
- SUITE A
- City
- D'lberville
- State
- Mississippi
- ZIP Code
- 39540-3705
- Phone
- (228) 896-2824
Authorized Official
- Name
- MS. JUDY BURCHFIELD ROWE, PT
- Title
- CHAIRPERSON
- Phone
- (228) 896-2824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
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