Provider Demographics
NPI:1982891487
Name:SCOTT, LINDA A (MPT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:A
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:A
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:1822 GIANNA DR
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-3460
Mailing Address - Country:US
Mailing Address - Phone:609-617-4664
Mailing Address - Fax:
Practice Address - Street 1:1474 TANYARD RD.
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080
Practice Address - Country:US
Practice Address - Phone:856-415-7530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006585L174400000X
NJ40QA00444800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist