SCOTT PORTELL

ROLLA, MO
NPI1982653754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  PT112267)
Enumeration Date2006-05-09
Last Update Date2007-07-09
Business Address
-- SCOTT PORTELL DPT
906 N CEDAR ST
ROLLA, MO 65401-3350
Phone number: 573-368-0999
Mailing Address
-- SCOTT PORTELL DPT
15250 COUNTY ROAD 7170
ROLLA, MO 65401-7869
Phone number: 573-364-4484