Individual
DARIA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2401 OAKBROOK DR, SOUTH BEND, IN 46628-3495
(574) 904-5155
Mailing address
2401 OAKBROOK DRIVE, SOUTH BEND, IN 46628
(574) 904-5155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002183A
IN
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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