MICHAEL DEWAYNE RAINES

MAGEE, MS
NPI1295927713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3532)
Enumeration Date2007-08-17
Last Update Date2007-08-17
Business Address
MICHAEL DEWAYNE RAINES PTA
301 2ND ST SE
MAGEE, MS 39111-3625
Phone number: 601-849-9882
Mailing Address
MICHAEL DEWAYNE RAINES PTA
301 2ND ST SE
MAGEE, MS 39111-3625
Phone number: 601-849-9882
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