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Bozlee Physical Therapy LLC

Clinic/Center, Physical Therapy in Gulfport, MS. Organization (NPI-2).

NPI number1508301474
StatusActive
Last updated in NPPESDec 30, 2016

Details

NPI
1508301474
Entity type
Organization (NPI-2)
Legal business name
Bozlee Physical Therapy LLC
Organization subpart
No
Enumeration date
Dec 30, 2016
Last updated
Dec 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical TherapyPT1109MSYes

Practice location

12311 Ashley Dr Ste B
Gulfport, MS 39503-2950

Phone 228-206-0400 · Fax 228-206-1851

Mailing address

12311 Ashley Dr Ste B
Gulfport, MS 39503-2950

Phone 228-206-0400 · Fax 228-206-1851

Authorized official

Elizabeth Bozlee
Co-Owner/Physical Therapist
2282060400

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