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Individual
MR. SCOTT DAVID WAUGH
Active
Individual
MR. SCOTT DAVID WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8158
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8158
MA PT LISENCE NUMBER
MA
Enumeration date
07/16/2006
Last updated
07/08/2007
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