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Individual
MR. SCOTT C THEURET
Active
Individual
MR. SCOTT C THEURET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01006600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3370512
OXFORD
NJ
Enumeration date
06/21/2006
Last updated
05/20/2016
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