Individual
SCOTT D KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ORTHOPEDIC THERAPIST
Contact information
Practice address
1300 CROTON RD, MELBOURNE, FL 32935-3164
(321) 693-3879
Mailing address
1300 CROTON RD, P.O. BOX 360654, MELBOURNE, FL 32935-3164
(321) 693-3879
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA30910
FL
174H00000X
Health Educator
MA30910
FL
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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