Mr. Mark Orson Harris
Physical Therapist - Geriatrics
15476a Dedeaux Rd
Gulfport
, Mississippi 39503-2637
Mr. Mark Orson Harris
Physical Therapist - Geriatrics
15476a Dedeaux Rd
Gulfport
, Mississippi 39503-2637
(228) 216-2408
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mr. Mark Orson Harris
- 106 Oaks Blvd
- Bay St Louis, MS
- Zip : 39520-3016
- Phone : (228) 216-2408
Second Address
- Mr. Mark Orson Harris
- 15476a Dedeaux Rd
- Gulfport, MS
- Zip : 39503-2637
- Phone : (228) 539-3232
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | PT3297 | MS |
National Provider Identifier
| NPI | 1063805240 |
|---|---|
| Provider Name | Mr. Mark Orson Harris |
| First Address | Bay St Louis, MS 39520-3016 |
| Second Address | Gulfport, MS 39503-2637 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/03/2015 |
| Last Update Date | 11/03/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.