NPI 1194397893

Taylor Tubertini Mattina, PTDPT

Practitioner Physical Medicine & Rehabilitation Physician Gulfport, MS

Practice location

Address: 12449 US 49 Suite C, Gulfport, MS 39503-3950
Phone: (228) 872-6836
Mailing address: 980 Courthouse Rd APT 924, Gulfport, MS 39507-4288

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PT-7129 (MS)

Other Physical Medicine & Rehabilitation providers in Mississippi →

Registry record

NPI: 1194397893
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2021
Record last updated: 12 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.