SearchMississippi225200000X

Madison Bosarge, PTA

NPI 1760113468 · on the registry since 2022 · sole proprietor

Practice

Address
11320 Hood Rd
Saucier, MS 39574
Phone
(228) 697-9931

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-22

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