Bozlee Physical Therapy LLC
Organization Active NPI Physical Therapy Clinic/Center · Gulfport, MS
NPI 1508301474 · NPPES record last updated Dec 30, 2016
Key facts
- NPI
- 1508301474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PT1109 (MS)
- Legal business name
- BOZLEE PHYSICAL THERAPY LLC
- Practice address
- 12311 Ashley Dr Ste B
Gulfport, MS 39503-2950 - Phone
- (228) 206-0400
- Fax
- (228) 206-1851
- NPI assigned
- Dec 30, 2016
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Bozlee, P.T.
- Title
- Co-Owner/Physical Therapist
- Phone
- (228) 206-0400
Practitioners 1
-
James C Patton III, CPO
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT1109 | MS | Yes |
Addresses
Primary practice location
12311 Ashley Dr Ste B
Gulfport, MS 39503-2950
Mailing address
12311 Ashley Dr Ste B
Gulfport, MS 39503-2950
Phone (228) 206-0400
Other providers in Gulfport, MS
- Aurellia Celeste Bourne
- Logan Tyler Boutwell
- Caleb Brennan Bowen
- Bradley Boyd
- Jill Boyer
- Elizabeth Z Bozlee
- Blakley J Brackett
- Wendy Bradford
- Shannon Deirdre Bradley
- Ashlie Bradshaw
All providers in Gulfport, MS · Physical Therapy Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.