Individual provider · Type 1 NPI

Mark Leslie Grogan

Physical Therapy Assistant · Madison, MS

NPI number 1811292501 Active

Practice location

401 Baptist Dr, Suite 306
Madison, MS 39110-2009

Call (601) 607-7204 Map

Fax (601) 607-7430

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA4334 (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 1811292501

Mark Leslie Grogan's National Provider Identifier is 1811292501, issued on Jan 11, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Madison, MS. The record was last updated on Jan 11, 2011.