Individual
MR. KENNETH GOLDIE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2907 BROADWAY BEND DR, PEARLAND, TX 77584-2236
(832) 699-2335
Mailing address
17226 PINE HOLLOW LANDING CT, HOUSTON, TX 77084-7801
(281) 222-4595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111066
TX
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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