Individual
RICKY LEE CLAYTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1632 COUNTY ROAD 121, NEW ALBANY, MS 38652-9164
(662) 266-2929
Mailing address
1632 COUNTY ROAD 121, NEW ALBANY, MS 38652-9164
(662) 266-2929
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-3360
MS
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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