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
- City
- Saucier
- State
- Mississippi
- ZIP Code
- 39574-8272
- Phone
- (228) 697-9931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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