Cockroft, Ray Scott

Cockroft, Ray Scott is an individual health care provider with primary practice located at 130 Parkway Plaza , Kosciusko MS 39090. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Cockroft, Ray Scott can be contacted via phone (662) 289-3588.

Contact Information

Primary practice address
130 Parkway Plaza Kosciusko MS 39090
Phone: (662) 289-3588
Fax: (662) 289-3533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT224 Mississippi

Profile Details

NPI number 1881658359
LBN Legal business name Cockroft, Ray Scott
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881658359 NPPES
Mississippi MEDICAID 02224508

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