Individual
MR. SCOTT A ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
4321 HARTWICK RD, COLLEGE PARK, MD 20740-3210
(973) 459-1456
Mailing address
3313 CUMMINGS LN, CHEVY CHASE, MD 20815-3239
(973) 459-1456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
01/27/2014
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