Individual
MR. SCOTT RAMON LUALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2760 AIRPORT DR., BUILDING C SUITE 160, COLUMBUS, OH 43219
(614) 866-8158
Mailing address
194 STONEMAST LOOP, PATASKALA, OH 43062-7325
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3134
OH
Other
Enumeration date
08/04/2008
Last updated
11/02/2022
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