Individual
MRS. PAIGE LUSK SCOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., P.C.S.
Contact information
Practice address
4 JACKSON ST NE, FT WALTON BEACH, FL 32548-4925
(850) 862-7227
(850) 862-2421
Mailing address
3924 MESA RD, DESTIN, FL 32541-2061
(850) 862-7227
(850) 862-2421
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT17648
FL
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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