Individual
ANITA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 GOULD RD, APT 4, JACKSONVILLE, NC 28540-9214
(252) 764-1378
Mailing address
1190 GOULD RD, APT 4, JACKSONVILLE, NC 28540-9214
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13702
NC
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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