| NPI | 1982908190 |
|---|---|
| Former Name | CANDICE SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 6777) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CO 6777) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2015-12-11 |