Individual
MRS. NERISSA MARIE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
331 E PARK ST, WEISER, ID 83672-2053
(208) 549-0206
(208) 549-0536
Mailing address
557 SW 2ND ST, ONTARIO, OR 97914-3515
(623) 340-2044
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-3275
ID
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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