JOSEPH ALBERT CHURCH

GULFPORT, MS
NPI1265470744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XH1200X Occupational Therapist Hand
(Licence: MS  OT0116)
Enumeration Date2006-06-04
Last Update Date2013-01-29
Business Address
MR. JOSEPH ALBERT CHURCH OTR/L-CHT
1105 39TH AVE
GULFPORT, MS 39501-2654
Phone number: 228-575-4654
Mailing Address
MR. JOSEPH ALBERT CHURCH OTR/L-CHT
1105 39TH AVE
GULFPORT, MS 39501-2654
Phone number: 228-575-4654
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