MS. MARIANNA GRACE SPAIN, PTA
Restorative Service Providers at Avignon Dr, Ridgeland, MS

License number
Mississippi PTA3645
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address 2
711 Avignon Dr, Ridgeland, MS 39157
40 County Road 617, Corinth, MS 38834
Phone
(601) 605-6777
(601) 605-8869 (Fax)
(662) 424-2918
National Provider ID: 1720136161
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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