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NPI Code Detail

MEDICARE: KINDRA RENEE SCOTT DPT

MEDICARE: KINDRA RENEE SCOTT DPT
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 TherapistPT019268PA

General Provider Information

NPI Number : 1881856219
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINDRA RENEE SCOTT DPT
Provider Business Mailing Address
First Line : PO BOX 7
Second Line :
City : CONCORDVILLE
State : PA
Zip : 19331-0007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5347 N. 16TH ST
Second Line : APT. 406
City : PHILADELPHIA
State : PA
Zip : 19141-3842
Country : US
Telephone Number : 800-578-7906
Fax Number : 800-878-5497
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2008
Last Update Date : 06/15/2011

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