| Organization Name: | WELLNESSWORKS OF CROSBY MEMORIAL HOSPITAL, LLC |
| NPI Number: | 1881778595 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VINCENT E CHESHIRE (MANAGING PARTNER) |
| Mailing Address: | 104 Street A Picayune |
| State: | MS US |
| Postal Code: | 394665466 |
| Phone Number: | 6017492227 |
| Fax Number: | 6017492241 |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 09/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |