Individual
TINA LYNN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4355 PHEASANT RIDGE RD, ROANOKE, VA 24014-5272
(540) 725-8210
Mailing address
4355 PHEASANT RIDGE RD, ROANOKE, VA 24014-5272
(540) 725-8210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000747
VA
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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