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NPI Code Detail

MEDICARE: BOBBIE SCOTT

MEDICARE: BOBBIE SCOTT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPTO215MS

General Provider Information

NPI Number : 1821304841
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBIE SCOTT
Provider Business Mailing Address
First Line : 1410 W QUITMAN ST
Second Line :
City : IUKA
State : MS
Zip : 38852-1129
Country : US
Telephone Number : 662-423-3422
Fax Number :
Provider Business Practice Location Address
First Line : 1410 W QUITMAN ST
Second Line :
City : IUKA
State : MS
Zip : 38852-1129
Country : US
Telephone Number : 662-423-3422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2010
Last Update Date : 08/27/2010

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Directions to “ BOBBIE SCOTT ” Practice Location

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