Individual
SCOTT PORTELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
906 N CEDAR ST, ROLLA, MO 65401-3350
(573) 368-0999
(573) 368-2777
Mailing address
15250 COUNTY ROAD 7170, ROLLA, MO 65401-7869
(573) 364-4484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT112267
MO
Other
Enumeration date
05/09/2006
Last updated
07/09/2007
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