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Individual
LUKE ANTHONY SCOTT
Active
Individual
LUKE ANTHONY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 39184
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT391840
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/13/2012
Last updated
09/06/2012
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