Lighthouse Therapy LLC
Physical Therapist in Ocean Springs, MS. Organization (NPI-2).
NPI number1801367883
StatusActive
Last updated in NPPESJan 31, 2023
Details
- NPI
- 1801367883
- Entity type
- Organization (NPI-2)
- Legal business name
- Lighthouse Therapy LLC
- Organization subpart
- No
- Enumeration date
- Dec 17, 2018
- Certification date
- Jan 31, 2023
- Last updated
- Jan 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
8905 Ocean Springs RdOcean Springs, MS 39564-4419
Phone 228-875-5447 · Fax 228-875-5448
Mailing address
5703 Gulf Tech DrOcean Springs, MS 39564-8238
Phone 228-875-5447 · Fax 228-875-5448
Authorized official
Vincent H. Cameron
Chief Operations Officer
2283480694
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