Individual
MR. SCOTT CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
114 E MAIN ST, CLINTON, CT 06413-2112
(860) 664-9442
(860) 664-9227
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 274-4092
(860) 274-4099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6389
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006389CT08
ANTHEM BC BS
CT
01
—
080006389CT09
ANTHEM BC BS
CT
01
—
080006389CT10
ANTHEM BC BS
CT
01
—
080006389CT11
ANTHEM BC BS
CT
Enumeration date
10/25/2006
Last updated
08/23/2016
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