Individual
MR. SCOTT STEVEN SCULTHORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8128 FLORIDA BLVD, DENHAM SPRINGS, LA 70726-7865
(225) 791-8666
(225) 791-2891
Mailing address
209 SIGMA ST, BELLE CHASSE, LA 70037-1441
(504) 394-5560
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1893
LA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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