Brittany Rachael Box PTA

NPI 1205193075 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1205193075
Gender Female
Enumeration Date 04/18/2012
Last Updated 04/18/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2844 TRACELAND DR
TUPELO MS, 38801-4200, US
Phone (662) 680-3148
Fax
Business Location
148 PALESTINE RD
PONTOTOC MS, 38863-9190, US
Phone (662) 419-6964
Fax
Toxanomy
Taxonomy Code 225200000X
License State Mississippi
License Number PTA4241
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According to our database, Brittany Rachael Box PTA NPI is 1205193075, taxonomy code is 225200000X and license number is PTA4241, license state is located at Mississippi. Brittany Rachael Box PTA physically located at 2844 Traceland Dr, Tupelo MS, 38801-4200. NPI Number Brittany Rachael Box PTA has the Individual type.

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1205193075 NPI number is provided on an as is basis without warranty of any kind. 1205193075 is maintained by the National Plan & Provider Enumeration System. The contents of Brittany Rachael Box PTA are for informational purposes only.