Individual
TREVOR SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
75 LOG CABIN DR APT 238, DALLAS, GA 30157-4115
(678) 492-8781
Mailing address
75 LOG CABIN DR APT 238, DALLAS, GA 30157-4115
(678) 492-8781
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002915
GA
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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