Pena, Madison Grace
Pena, Madison Grace is an sole proprietor health care provider with primary practice located at 7580 Clarington Cv , Southaven MS 38671-5657. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Pena, Madison Grace can be contacted via phone (901) 259-1600.Contact Information
Primary practice address
7580 Clarington Cv
Southaven MS 38671-5657
Phone: (901) 259-1600
Fax: (901) 259-1698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA7197 | Mississippi |
Profile Details
| NPI number | 1255006037 |
|---|---|
| LBN Legal business name | Pena, Madison Grace |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2021 |
| Last updated | Nov 14th, 2023 - about 2 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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