Individual
MR. SCOTT HENRY LESCAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 INDIAN CREEK BLVD W., WINDSOR, CT 06082-2750
(860) 688-6443
Mailing address
427 BRAINARD RD., ENFIELD, CT 06082-2750
(860) 749-4160
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001372
CT
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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