Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MADISON BOSARGE, PTA
Active Sole ProprietorMADISON BOSARGE, PTA is a Occupational Therapist healthcare provider located in SAUCIER, Mississippi. NPI 1760113468 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SAUCIER, MS
Registration Details
- NPI Number
- 1760113468
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2022 (4.1037079646362 yrs)
- Last Updated
- Jun 22, 2022
- License
-
PTA6756 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11320 HOOD RDSAUCIER, MS, 395748272Browse MS providers · Browse ZIP 39574
- Phone
- 2286979931
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.