Gregory Kevin Picou in Gulfport - Rehabilitation

Gregory Kevin Picou - NPI 1073693040

Gregory Kevin Picou is a Rehabilitation in Gulfport, Mississippi. Gregory Kevin Picou practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Gregory Kevin Picou is 1073693040. The last update date is 2007-07-08.

Gregory Kevin Picou's current location address is 9344 Three Rivers Rd, Gulfport, Mississippi. You can contact this provider via phone number 2288659898 and fax number 2288635616. The mailing address for Gregory Kevin Picou is 9344 Three Rivers Rd, Gulfport, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Kevin Picou
Address 9344 Three Rivers Rd, Gulfport, Mississippi
Phone Number 2288659898
Fax Number 2288635616
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1073693040
Provider Enumeration Date 2006-10-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9344 Three Rivers Rd
City Gulfport
State Mississippi (MS)
Post Code 395034268
Phone Number 2288659898
Fax Number 2288635616

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 111Nr0400X
Licence No 916
Definition:
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
800075040 MS TAX ID

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FAQs about Gregory Kevin Picou

What is the Gregory Kevin Picou's 1073693040?

The Gregory Kevin Picou's NPI (National Provider Identifier) Number is 1073693040. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Gregory Kevin Picou is geographically located?

The Gregory Kevin Picou is physically situated at the following location: 9344 Three Rivers Rd, Gulfport, MS, 395034268.

What is Gregory Kevin Picou's area of expertise and its corresponding taxonomy classification?

The Gregory Kevin Picou's field of specialization is Rehabilitation, and it falls under the taxonomy code 111Nr0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Gregory Kevin Picou receive the assignment of its 1073693040 from the Centers for Medicare & Medicaid Services?

The Gregory Kevin Picou was issued its 1073693040 by the Centers for Medicare & Medicaid Services on 2006-10-16.

As of what date were the details pertaining to Gregory Kevin Picou last refreshed?

The information related to the Gregory Kevin Picou, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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