Doctor Name: | MR. CORY MARCUS SCOTT |
NPI Number: | 1023349040 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 22687 |
Business Practice Address: | 1003 College Blvd W Suite 1 Niceville, FL - 325781068 |
Business Phone Number: | 8508621999 |
Business Fax Number: | |
Mailing Address: | 1003 College Blvd W, Suite 1 NICEVILLE |
State: | FL |
Postal Code: | 325781068 |
Phone Number: | 8508621999 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2010 |
NPI Last Update Date: | 10/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 22687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |