Individual
MRS. JANICE ANNE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
425 DROZDYK DR, GROTON, CT 06340-4248
(860) 460-2647
Mailing address
86 DANIEL BROWN DR, MYSTIC, CT 06355-1612
(860) 536-1517
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000503
CT
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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