Moss, Madison Spencer

Moss, Madison Spencer is an sole proprietor health care provider with primary practice located at 305 N Villa San Marco Dr Unit 208 , St Augustine FL 32086-5193. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Moss, Madison Spencer can be contacted via phone (770) 324-2058.

Contact Information

Primary practice address
305 N Villa San Marco Dr Unit 208 St Augustine FL 32086-5193
Phone: (770) 324-2058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA003868 Georgia

Profile Details

NPI number 1801441985
LBN Legal business name Moss, Madison Spencer
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2019
Last updated Aug 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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