Individual
DEIRDRE SCOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
201 E TOMLINSON PKWY, LONGVIEW, TX 75605
(903) 803-5869
(903) 663-7220
Mailing address
PO BOX 3266, LONGVIEW, TX 75606-3266
(903) 803-5869
(903) 663-7220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3369
TX
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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