Individual
DR. BRENNA SHEA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6408 GROVEDALE DRIVE, SUITE 102, ALEXANDRIA, VA 22310-2596
(703) 884-8490
(703) 313-0178
Mailing address
224D CORNWALL STREET NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6001
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214816
VA
225100000X
Physical Therapist
PT030059
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215697511
—
VA
Enumeration date
12/28/2021
Last updated
11/30/2022
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