| Doctor Name: | MR. MARK ORSON HARRIS |
| NPI Number: | 1063805240 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT3297 |
| Business Practice Address: | 15476a Dedeaux Rd Gulfport, MS - 395032637 |
| Business Phone Number: | 2285393232 |
| Business Fax Number: | |
| Mailing Address: | 106 Oaks Blvd, BAY ST LOUIS |
| State: | MS |
| Postal Code: | 395203016 |
| Phone Number: | 2282162408 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2015 |
| NPI Last Update Date: | 03/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | PT3297 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |