MRS. Ada Ruth Bosarge, PT CMDT

NPI #1447318159 in Pascagoula, Mississippi

Provider Information

NPI Number: 1447318159
Entity Type: Individual
Name: MRS. Ada Ruth Bosarge, PT CMDT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT CMDT
Enumeration Date: Dec 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2838 ANDREW ST
City: Pascagoula
State: Mississippi
ZIP Code: 39567
Phone: (228) 762-2345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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