Scott Bronstad, PTA

NPI #1336695451 in Marietta, New York

Provider Information

NPI Number: 1336695451
Entity Type: Individual
Name: Scott Bronstad, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 29, 2016
Last Updated: Aug 29, 2016

Practice Location

Address: 2812 STATE ROUTE 174
City: Marietta
State: New York
ZIP Code: 13110-3202
Phone: (347) 924-2720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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