Individual
ADRIANA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 FIELD ST, BREMEN, GA 30110-2105
(448) 277-0537
Mailing address
27907 STAGELINE RD, CASTAIC, CA 91384-3564
(661) 904-6839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004102
GA
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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