Provider Demographics
NPI:1164952396
Name:SCOTTIE GIRL
Entity Type:Organization
Organization Name:SCOTTIE GIRL
Other - Org Name:THE WOMEN'S HEALTH SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GATTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-980-7465
Mailing Address - Street 1:20 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-2733
Mailing Address - Country:US
Mailing Address - Phone:888-980-7465
Mailing Address - Fax:866-430-7882
Practice Address - Street 1:20 S 4TH ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2733
Practice Address - Country:US
Practice Address - Phone:888-980-7465
Practice Address - Fax:866-430-7882
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:N/A
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier