GEOFFREY GAINES KERGOSIEN

BAY ST LOUIS, MS
NPI1184780272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT0701)
Enumeration Date2006-12-31
Last Update Date2007-07-08
Business Address
Mr. GEOFFREY GAINES KERGOSIEN PT
833 HIGHWAY 90 SUITE 2
BAY ST LOUIS, MS 39520-1601
Phone number: 228-463-9030
Mailing Address
Mr. GEOFFREY GAINES KERGOSIEN PT
2167 MITTEER DR
BAY ST LOUIS, MS 39520-8905
Phone number: 228-466-5679