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Individual

LAUREN W SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
1618 MILLENIUM WAY, SUITE 210, MERIDIAN, ID 83642-6439
(208) 884-4647
(208) 884-8984
Mailing address
1618 MILLENIUM WAY, SUITE 210, MERIDIAN, ID 83642-6439
(208) 884-4647
(208) 884-8984

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT1680
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807248200
ID
Enumeration date
08/24/2006
Last updated
10/30/2012
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