Individual
MR. SCOTT FORD HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED ORTHOTIST
Contact information
Practice address
1100 W CANNON ST, FT WORTH, TX 76104-2934
(817) 335-1411
(817) 335-1429
Mailing address
1100 W CANNON ST, FT WORTH, TX 76104-2934
(817) 335-1411
(817) 335-1429
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
444
TX
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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