Doctor Name: | MR. SCOTT EDWARD TEAGARDEN |
NPI Number: | 1043307556 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 011165-1 |
Business Practice Address: | 220 West 26th St Wellness And Rehbilitation Center New York, NY - 10001 |
Business Phone Number: | 2123375814 |
Business Fax Number: | 2129245049 |
Mailing Address: | 360 Cabrini Blvd, Apt. 5j NEW YORK |
State: | NY |
Postal Code: | 100403635 |
Phone Number: | 6466623804 |
Fax Number: | 2129245049 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 011165-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |