Doctor Name: | DR. SCOTT JEFFREY BLACK |
NPI Number: | 1205899978 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 2305004128 |
Business Practice Address: | 100 Emancipation Dr Hampton, VA - 236670001 |
Business Phone Number: | 7577229961 |
Business Fax Number: | |
Mailing Address: | 102 Crystal Lake Dr, YORKTOWN |
State: | VA |
Postal Code: | 236923433 |
Phone Number: | 7577229961 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305004128 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
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 |