Individual
JONATHAN BRADLEY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6535 DRAKE RD, WEST BLOOMFIELD, MI 48322-3147
(248) 592-2000
Mailing address
10104 CHESAPEAKE CIR, WALLED LAKE, MI 48390-5905
(810) 853-1556
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002107
MI
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
06/18/2020
Last updated
06/30/2020
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