Doctor Name: | IAN SCOLLINS |
NPI Number: | 1396177234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT, ATC |
License Number: | 9750 |
Business Practice Address: | 505 Willard Ave Bldg 1 Suite 1-d Newington, CT - 061112650 |
Business Phone Number: | 8606658265 |
Business Fax Number: | 8606658310 |
Mailing Address: | 25 Stanley St, Apt A4 WEST HARTFORD |
State: | CT |
Postal Code: | 061071830 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/02/2013 |
NPI Last Update Date: | 08/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |