MR. Stewart Blake Scoggin, PTA

NPI #1023380946 in Danville, Arkansas

Provider Information

NPI Number: 1023380946
Entity Type: Individual
Name: MR. Stewart Blake Scoggin, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 8, 2012
Last Updated: Feb 8, 2012

Practice Location

Address: 719 DETROIT ST
Address 2: CHAMBERS MEMORIAL HOSPITAL
City: Danville
State: Arkansas
ZIP Code: 72833
Phone: (479) 495-6252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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