Individual
SCOTT THOMAS JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 RIDGECREST CIR, LEWISBURG, PA 17837-6367
(570) 522-6234
Mailing address
15 RIDGECREST CIR, LEWISBURG, PA 17837-6367
(570) 522-6234
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010767
PA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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