Individual
DAVID LESTER SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5355 EASTERN AVE, DAVENPORT, IA 52807-2738
(563) 355-3867
(563) 355-0806
Mailing address
5355 EASTERN AVE, DAVENPORT, IA 52807-2738
(563) 355-3867
(563) 355-0806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00892
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239624
—
IA
01
—
23962
WELLMARK BCBS
IA
Enumeration date
09/22/2006
Last updated
07/08/2007
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