MARK ANGELO HENRY

RIDGELAND, MS
NPI1649494667
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3317)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
Mr. MARK ANGELO HENRY LPTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
Mr. MARK ANGELO HENRY LPTA
PO BOX 720794
BYRAM, MS 39272-0794
Phone number: 601-319-6466
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