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Individual

JAMES SCOTT II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
2147 BEAVER DAM RD, LUCEDALE, MS 39452-5659
(601) 508-8276
Mailing address
2147 BEAVER DAM RD, LUCEDALE, MS 39452-5659
(601) 508-8276

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2099726
TX
225200000X
Physical Therapy Assistant
Primary
PTA5112
MS

Other

Enumeration date
10/29/2013
Last updated
10/29/2013
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