MEDICARE: SCOTT HOLLIER INC PHYSICAL THERAPY

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
1	225100000X	Physical Therapist	PT302	LA

General Provider Information

NPI Number	:	1750449260
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT HOLLIER INC PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	2645 SOUTH DR
Second Line	:
City	:	ABBEVILLE
State	:	LA
Zip	:	70510-4044
Country	:	US
Telephone Number	:	337-893-3354
Fax Number	:	337-893-1538

Provider Business Practice Location Address
First Line	:	2645 SOUTH DR
Second Line	:
City	:	ABBEVILLE
State	:	LA
Zip	:	70510-4044
Country	:	US
Telephone Number	:	337-893-3354
Fax Number	:	337-893-1538

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DARLENE HEBERT
Credential	:
Telephone Number	:	337-893-3354

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	08/22/2020

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