RAVEN BOATMAN, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1134701642
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | PTA6380 (MS) |
Frequently Asked Questions
NPI 1134701642 is the National Provider Identifier for RAVEN BOATMAN, PTA, a Physical Therapy Assistant provider located in Grenada, MS. This NPI was enumerated on April 23, 2021.
RAVEN BOATMAN, PTA practices at 1966 F S HILL DR, Grenada, MS 38901.
Quick Facts
- NPI
- 1134701642
- Type
- Individual
- Enumerated
- Apr 23, 2021
- Last Updated
- Apr 23, 2021
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