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Raven Boatman, PTA
NPI 1134701642 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1966 F S Hill Dr
Grenada, MS 38901 - Phone
- (662) 226-2442
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi