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NPI Code Detail

MEDICARE: SABRINA ELLIOTT SCOTT

MEDICARE:   SABRINA ELLIOTT SCOTT
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 Assistant2306603561VA

General Provider Information

NPI Number : 1952868192
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA ELLIOTT SCOTT
Provider Business Mailing Address
First Line : 223 DOGWOOD LN
Second Line :
City : HURT
State : VA
Zip : 24563-2142
Country : US
Telephone Number : 434-841-4408
Fax Number :
Provider Business Practice Location Address
First Line : 1317 LOLA AVE
Second Line :
City : ALTAVISTA
State : VA
Zip : 24517-1352
Country : US
Telephone Number : 434-369-6651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2019
Last Update Date : 02/25/2019

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Directions to “ SABRINA ELLIOTT SCOTT ” Practice Location

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