Jacqueline Whalen Scott PTA

NPI 1083923452 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1083923452
Gender Female
Enumeration Date 10/01/2010
Last Updated 10/01/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
6801 US ROUTE 11
CHURUBUSCO NY, 12923-3015, US
Phone (518) 570-9101
Fax
Business Location
6801 US ROUTE 11
CHURUBUSCO NY, 12923-3015, US
Phone (518) 570-9101
Fax
Toxanomy
Taxonomy Code 225200000X
License State New York
License Number 000746-1
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According to our database, Mrs. Jacqueline Whalen Scott PTA NPI is 1083923452, taxonomy code is 225200000X and license number is 000746-1, license state is located at New York. Jacqueline Whalen Scott PTA physically located at 6801 Us Route 11, Churubusco NY, 12923-3015. NPI Number Jacqueline Whalen Scott PTA has the Individual type.

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1083923452 NPI number is provided on an as is basis without warranty of any kind. 1083923452 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Whalen Scott PTA are for informational purposes only.