Doctor Name: | MR. SCOTT OGREN |
NPI Number: | 1669525879 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, CSCS |
License Number: | 018722 |
Business Practice Address: | 135 Bedford Rd Armonk, NY - 105041937 |
Business Phone Number: | 8456610177 |
Business Fax Number: | |
Mailing Address: | 15 Lovely Ln, CARMEL |
State: | NY |
Postal Code: | 105124311 |
Phone Number: | 8452765055 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 018722 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |