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NPI Code Detail

MEDICARE: KORINA SCOTT

MEDICARE: KORINA 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
12251P0200XPediatric Physical Therapist1678NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1382617193OTHERNVTAX IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043344161
Entity Type Code : Individual
Provider Name (Legal Business Name) : KORINA SCOTT
Provider Business Mailing Address
First Line : 8020 W SAHARA AVE STE 160
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7917
Country : US
Telephone Number : 702-595-5437
Fax Number : 702-425-2787
Provider Business Practice Location Address
First Line : 8020 W SAHARA AVE STE 160
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7917
Country : US
Telephone Number : 702-595-5437
Fax Number : 702-425-2787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 08/10/2022

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Directions to “ KORINA SCOTT ” Practice Location

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