| Doctor Name: | MR. SCOTT FALLDORF |
| NPI Number: | 1811940083 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 16677 |
| Business Practice Address: | 33 Electric Ave Suite B10 Fitchburg, MA - 014207954 |
| Business Phone Number: | 9783530030 |
| Business Fax Number: | 9783530059 |
| Mailing Address: | 39 Cinema Blvd, LEOMINSTER |
| State: | MA |
| Postal Code: | 01453 |
| Phone Number: | 9784666677 |
| Fax Number: | 9784661133 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 12/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 16677 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |