| NPI | 1619391091 |
|---|---|
| Professional Name | THEODORA SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL5323) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 2211) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2021-02-12 |