MEDICARE: MRS. LAURA MARIE SCOTT M.P.T.

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	36601	CA

General Provider Information

NPI Number	:	1447549399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA MARIE SCOTT M.P.T.

Provider Business Mailing Address
First Line	:	5 DROVER CT
Second Line	:
City	:	TRABUCO CANYON
State	:	CA
Zip	:	92679-5366
Country	:	US
Telephone Number	:	949-338-9452
Fax Number	:

Provider Business Practice Location Address
First Line	:	23001 DEL LAGO DR STE C1
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-1354
Country	:	US
Telephone Number	:	949-387-7333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2011
Last Update Date	:	04/30/2024

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