Madison Bosarge, PTA

NPI #1760113468 in Saucier, Mississippi

Provider Information

NPI Number
1760113468
Entity Type
Individual
Name
Madison Bosarge, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jun 22, 2022
Last Updated
Jun 22, 2022

Practice Location

Address
11320 HOOD RD
ZIP Code
39574-8272
Phone
(228) 697-9931

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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