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NPI Code Detail

MEDICARE: MR. WESLEY E SCOTT PHYSICAL THERAPIST

MEDICARE:  MR. WESLEY E SCOTT  PHYSICAL THERAPIST
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 TherapistPT299602CA

General Provider Information

NPI Number : 1235729401
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WESLEY E SCOTT PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 20435 VIA BURGOS
Second Line :
City : YORBA LINDA
State : CA
Zip : 92887-3225
Country : US
Telephone Number : 714-329-1262
Fax Number :
Provider Business Practice Location Address
First Line : 3187 RED HILL AVE STE 200
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-3454
Country : US
Telephone Number : 714-975-8011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2021
Last Update Date : 04/06/2021

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Directions to “ MR. WESLEY E SCOTT PHYSICAL THERAPIST” Practice Location

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