| Doctor Name: | HOLLY SCOVILLE |
| NPI Number: | 1497926927 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 006418 |
| Business Practice Address: | 15 Massirio Dr Berlin, CT - 060372300 |
| Business Phone Number: | 8608291300 |
| Business Fax Number: | 8608291388 |
| Mailing Address: | 47 Jolley Dr, BLOOMFIELD |
| State: | CT |
| Postal Code: | 060023092 |
| Phone Number: | 8602868882 |
| Fax Number: | 8602865481 |
| NPI Enumeration Date: | 03/12/2008 |
| NPI Last Update Date: | 03/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 006418 |
| 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 |