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:
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Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821189911 NPPES
Florida MEDICAID 887951600

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