Mark Angelo Henry in Ridgeland - Physical Therapy Assistant

Mark Angelo Henry - NPI 1649494667

Mark Angelo Henry is a Physical Therapy Assistant in Ridgeland, Mississippi. Mark Angelo Henry practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Mark Angelo Henry is 1649494667. The last update date is 2007-07-08.

Mark Angelo Henry's current location address is 711 Avignon Dr, Ridgeland, Mississippi. You can contact this provider via phone number 6016056777 and fax number 6016058869. The mailing address for Mark Angelo Henry is 711 Avignon Dr, Ridgeland, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Angelo Henry
Address 711 Avignon Dr, Ridgeland, Mississippi
Phone Number 6016056777
Fax Number 6016058869
Sole Proprietor Y
Credentials LPTA

NPI Number Detail

NPI Number 1649494667
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 711 Avignon Dr
City Ridgeland
State Mississippi (MS)
Post Code 391575120
Phone Number 6016056777
Fax Number 6016058869

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA3317
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Mark Angelo Henry

What is the unique identifier code issued to Mark Angelo Henry by the Centers for Medicare & Medicaid Services?

The Mark Angelo Henry has been assigned the NPI (National Provider Identifier) 1649494667. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mark Angelo Henry is geographically located?

The Mark Angelo Henry is physically situated at the following location: 711 Avignon Dr, Ridgeland, MS, 391575120.

What is Mark Angelo Henry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark Angelo Henry is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.

On what date was the 1649494667 assigned to Mark Angelo Henry?

The Mark Angelo Henry was issued its 1649494667 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Mark Angelo Henry, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mark Angelo Henry, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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