Individual
MR. SCOTT REID RAYBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(800) 517-6935
Mailing address
106 MEADOW CV, CLINTON, MS 39056-5843
(601) 260-9654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2122
MS
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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