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Contact Information

CARL B SCOTT, PT
2021 MAHANEY AVE., STE. 6
NORTHEASTERN PHYSICAL REHAB
TAHLEQUAH, OK74464
 Phone: 918-458-5115
 Fax: 918-458-5119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CARL B SCOTT · (Male)

NPI Number 1194768655
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 06/13/2006
Last updated 12/06/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1994
  • OK Medicaid 100834890A
  • OK Other 175254900 DEPT OF LABOR
  • OK Other 650020254 RR MEDICARE
  • OK Other A002 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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