Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 00005814 | WA |
Y | 2251P0200X | Physical Therapist - Pediatrics | 00005814 | WA |
NPI | 1790916872 |
---|---|
Provider Name | Mrs. Cathleen J Scott |
First Address | Chehalis, WA 98532-9618 |
Second Address | Chehalis, WA 98532-9618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2009 |
Last Update Date | 06/08/2009 |