Individual
JOHN RAYBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10 MELODY LN, COLLINS, MS 39428-9002
(601) 765-2900
(601) 765-2903
Mailing address
10 MELODY LN, COLLINS, MS 39428-9002
(601) 765-2900
(601) 765-2903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1462
MS
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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