Individual
MR. SCOTT MICHAEL STOUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
701 SLATE BELT BLVD, BANGOR, PA 18013-9341
(610) 599-1454
Mailing address
557 LUTHER LN, NAZARETH, PA 18064-8865
(484) 553-7934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005455L
PA
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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