Individual
MR. SCOTT PAUL SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
925 CHESTNUT ST, PHILADELPHIA, PA 19107-4216
(267) 339-3579
Mailing address
925 CHESTNUT ST, PHILADELPHIA, PA 19107-4216
(267) 339-3579
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT01286L
PA
2255A2300X
Athletic Trainer
RT000964A
PA
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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