Individual
REGINA ANN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
260 BARNES RD, FLORENCE, MS 39073-8066
(601) 845-0876
Mailing address
665 HOLLY GROVE CIR, BRAXTON, MS 39044-2963
(601) 847-0430
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1201
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02759579
—
MS
Enumeration date
03/12/2007
Last updated
05/21/2013
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