Individual
MR. KEITH DAVID SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10525 WEST DR, FAIRFAX, VA 22030-4230
(703) 934-9411
(703) 934-9497
Mailing address
7727 LEEDS MANOR RD, MARSHALL, VA 20115-2657
(703) 934-9411
(703) 934-9497
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305002566
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G02052
MEDICARE GROUP PIN
DC
Enumeration date
12/15/2006
Last updated
10/05/2007
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