Individual
JOHN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3920 N UNION BLVD STE 100, COLORADO SPRINGS, CO 80907-4907
(719) 550-0600
Mailing address
2817 TREMONT ST, COLORADO SPRINGS, CO 80907-6034
(719) 520-5167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293159
LICENSE #
CO
Enumeration date
08/30/2006
Last updated
07/08/2007
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