Individual
REGGIE SCOTT SCOTT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 RAMS WAY, EARTH CITY, MO 63045-1523
(314) 982-7267
Mailing address
1 RAMS WAY, EARTH CITY, MO 63045-1523
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
060202019
MO
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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