Individual
ANTONIO DEBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
671 GRANTS FERRY RD STE A, FLOWOOD, MS 39232-6801
(769) 777-4400
(769) 777-4401
Mailing address
671 GRANTS FERRY RD STE A, FLOWOOD, MS 39232-6801
(769) 777-4400
(769) 777-4401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA7521
MS
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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