MR. Scott Lano Divinagracia, PTA

NPI #1518391176 in Bethesda, Maryland

Provider Information

NPI Number
1518391176
Entity Type
Individual
Name
MR. Scott Lano Divinagracia, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
PTA
Enumeration Date
Aug 30, 2013
Last Updated
Aug 30, 2013

Practice Location

Address
5215 W CEDAR LN
ZIP Code
20814-1548
Phone
(301) 897-5500

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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