| NPI | 1679961304 |
|---|---|
| Former Name | CORRIE ELIZABETH SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.021102) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007671) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |