NPI | 1225119472 |
---|---|
Former Name | BRYAN STEPHEN SCOTT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT24080) |
Additional Taxonomies | 2251G0304X Physical Therapist Geriatrics (Licence: CA PT24080) |
2251S0007X Physical Therapist Sports (Licence: CA PT24080) | |
2251X0800X Physical Therapist Orthopedic (Licence: CA PT24080) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2017-06-14 |