Scully, Theresa
Scully, Theresa is an individual health care provider with primary practice located at 1837 W Windy Way , Saint Johns FL 32259-1945. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Scully, Theresa can be contacted via phone (904) 860-5392.Contact Information
Primary practice address
1837 W Windy Way
Saint Johns FL 32259-1945
Phone: (904) 860-5392
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT18900 | Florida |
Profile Details
NPI number | 1821189911 |
---|---|
LBN Legal business name | Scully, Theresa |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2006 |
Last updated | Feb 24th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821189911 | NPPES |
Florida | MEDICAID | 887951600 |
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