Individual
SCOTT A. SUTPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
(540) 982-2860
Mailing address
4550 SHENANDOAH AVE NW, ROANOKE, VA 24017-4749
(540) 982-2860
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602211
VA
Other
Enumeration date
01/22/2007
Last updated
12/03/2015
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