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Individual

SCOTT ALAN LAMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
833 16TH AVE, MOLINE, IL 61265-3808
(309) 764-6744
Mailing address
1915 3X AVE, EAST MOLINE, IL 61244-1206
(309) 764-6744

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004924
IL

Other

Enumeration date
04/23/2008
Last updated
04/23/2008
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