MARIANNA GRACE SPAIN

RIDGELAND, MS
NPI1720136161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3645)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Ms. MARIANNA GRACE SPAIN PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
Ms. MARIANNA GRACE SPAIN PTA
40 COUNTY ROAD 617
CORINTH, MS 38834-1131
Phone number: 662-424-2918
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