| NPI | 1316370125 |
|---|---|
| Former Name | TRACY NICOLE SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0003111) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24662) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2026-07-06 |