Individual
MR. SCOTT BARKOUSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1816 TILE FACTORY RD, PALESTINE, TX 75803-8472
(903) 723-0950
Mailing address
586A LCR 463, MEXIA, TX 76667-2650
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2055822
TX
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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