Individual
MR. JOSHUA R SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
12166 HIGHWAY 45, MARTIN, TN 38237-5808
(731) 332-2530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2142646
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142646
PTA LICENSE
TX
Enumeration date
10/30/2018
Last updated
10/30/2018
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