MADISON SPENCER MOSS

ST AUGUSTINE, FL
NPI1801441985
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA003868)
Enumeration Date2019-08-06
Last Update Date2025-09-11
Business Address
MADISON SPENCER MOSS PTA
305 N VILLA SAN MARCO DR UNIT 208
ST AUGUSTINE, FL 32086-5193
Phone number: 770-324-2058
Mailing Address
MADISON SPENCER MOSS PTA
305 N VILLA SAN MARCO DR UNIT 208
ST AUGUSTINE, FL 32086-5193
Phone number: 770-324-2058
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