ANTONIO DEBOSE

FLOWOOD, MS
NPI1235967340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA7521)
Enumeration Date2024-07-22
Last Update Date2024-07-22
Business Address
ANTONIO DEBOSE
671 GRANTS FERRY RD STE A
FLOWOOD, MS 39232-6801
Phone number: 769-777-4400
Mailing Address
ANTONIO DEBOSE
671 GRANTS FERRY RD STE A
FLOWOOD, MS 39232-6801
Phone number: 769-777-4400