Individual
MR. SCOTT ROBERT STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC, LAT
Contact information
Practice address
1101 CAMDEN AVE, SALISBURY, MD 21801-6860
(410) 543-6355
(574) 631-3305
Mailing address
9880 SHORE BREAK LN APT 103, BERLIN, MD 21811-2991
(574) 340-3089
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001401
MD
246Z00000X
Other Specialist/Technologist
36001465A
IN
Other
Enumeration date
02/09/2006
Last updated
08/02/2021
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