Individual provider · Type 1 NPI

Marianna Grace Spain, PTA

Physical Therapy Assistant · Ridgeland, MS

NPI number 1720136161 Active

Practice location

711 Avignon Dr
Ridgeland, MS 39157-5120

Call (601) 605-6777 Map

Fax (601) 605-8869

Mailing address

40 County Road 617
Corinth, MS 38834-1131

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA3645 (MS)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1720136161

Marianna Grace Spain, PTA's National Provider Identifier is 1720136161, issued on Jan 8, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ridgeland, MS. The record was last updated on Jul 8, 2007.