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Individual
MR. KEITH M. SCOTT
Active
Individual
MR. KEITH M. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00750300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10669911
CAQH
—
Enumeration date
12/15/2006
Last updated
01/03/2019
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