person
Mr. Joseph Albert Church III, OTR/L-CHT
Hand Occupational Therapist in Gulfport, Mississippi
NPI 1265470744

Joseph Albert Church III is a Hand Occupational Therapist based in Gulfport, MS and is specialized in Hand. Joseph Albert Church III practices in Gulfport, MS and has the professional credentials of OTR/L-CHT. The NPI Number for Joseph Albert Church III is 1265470744 and holds a License No. OT0116 (Mississippi).

The current practice location address for Joseph Albert Church III is 1105 39Th Ave, Gulfport, MS and can be reached out via phone at 228-575-4654 and via fax at 228-575-4651. You can also correspond with Joseph Albert Church III through the mailing address at 1105 39TH AVE, GULFPORT, MS - 39501-2654 (mailing address contact number: 228-575-4654).

Location: 1105 39Th Ave, Gulfport, MS, 39501-2654
person
Provider Profile Details
NPI Number
1265470744
Provider Name
Joseph Albert Church III
Credential
OTR/L-CHT
Provider Entity Type
Individual
Gender
Male
Address
1105 39Th Ave, Gulfport, MS, 39501-2654
Phone Number
228-575-4654
Fax Number
228-575-4651
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00119593 05 MS
institution
Provider Business Practice Location Address Details
Address
1105 39Th Ave
City
State
Zip
39501-2654
Phone Number
228-575-4654
Fax Number
228-575-4651
person
Provider Business Mailing Address Details
Address
1105 39Th Ave
City
State
Zip
39501-2654
Phone Number
228-575-4654
Fax Number
228-575-4651
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Hand
Taxonomy
License No.
OT0116 (Mississippi)
Definition
Definition to come...
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