Individual
TENA LYNN FITZGERALD SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
642 W 2275 N, LAYTON, UT 84041-7348
(801) 628-0406
Mailing address
642 W 2275 N, LAYTON, UT 84041-7348
(801) 628-0406
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11131151-8019
UT
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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