Individual
ANGELA RAINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 HIGHWAY 90 STE 2, BAY ST LOUIS, MS 39520-1601
(228) 463-9030
(228) 463-0103
Mailing address
833 HIGHWAY 90 STE 2, BAY ST LOUIS, MS 39520-1601
(228) 463-9030
(228) 463-0103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5342
MS
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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