MADISON BOSARGE

SAUCIER, MS
NPI1760113468
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA6756)
Enumeration Date2022-06-22
Last Update Date2022-06-22
Business Address
MADISON BOSARGE PTA
11320 HOOD RD
SAUCIER, MS 39574-8272
Phone number: 228-697-9931
Mailing Address
MADISON BOSARGE PTA
11320 HOOD RD
SAUCIER, MS 39574-8272
Phone number: 228-697-9931