Healthcare Provider Details
I. General information
NPI: 1801108626
Provider Name (Legal Business Name): CARRIE ANNE SCURFIELD PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/09/2010
Last Update Date: 11/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
605 SCENERY DR
ELIZABETH PA
15037-2000
US
IV. Provider business mailing address
625 LINCOLN AVE STE 107 PROFESSIONAL PLAZA
CHARLEROI PA
15022-2451
US
V. Phone/Fax
- Phone: 412-751-0040
- Fax: 412-751-0041
- Phone: 724-483-4886
- Fax: 724-483-0290
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT020601 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: