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NPI Code Detail

MEDICARE: DANIELLE SCOTT PTA

MEDICARE: DANIELLE SCOTT PTA
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
1225200000XPhysical Therapy Assistant32075FL

General Provider Information

NPI Number : 1225641061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE SCOTT PTA
Provider Business Mailing Address
First Line : 1731 SE SANDIA DR
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34983-3734
Country : US
Telephone Number : 413-427-1721
Fax Number :
Provider Business Practice Location Address
First Line : 156 NW CALIFORNIA BLVD
Second Line :
City : PORT SAINT LUCIE
State : FL
Zip : 34986-2492
Country : US
Telephone Number : 772-871-7170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2020
Last Update Date : 12/18/2023

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Directions to “ DANIELLE SCOTT PTA” Practice Location

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