IndividualActive
Antonio Debose
NPI 1235967340 · Physical Therapy Assistant · Flowood, MS
Provider details
- NPI number
- 1235967340
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PTA7521 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
671 Grants Ferry Rd Ste a
Flowood, MS 39232-6801
Phone: (769) 777-4400
Fax: (769) 777-4401
Approximate (ZIP-level) locationGet directions
Mailing address
671 Grants Ferry Rd Ste a
Flowood, MS 39232-6801
Additional practice locations (1)
- 3825 Highway 80 EPearl, MS 39208-4232Phone: (769) 777-4400Fax: (769) 777-4401
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.