Individual
CANDACE SMITH RAYBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1129 HWY 35 S, STE 2, FOREST, MS 39232
(601) 469-1001
(601) 469-1009
Mailing address
2015 HIGHPOINTE DRIVE, BRANDON, MS 39042
(601) 824-8814
(601) 824-8816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2450
MS
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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