| NPI | 1053533570 |
|---|---|
| Doing Business As | SEASIDE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MELANIE L FAYARD Vice President 228-436-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |