Provider Demographics
NPI:1497829212
Name:VANSCOTEN, LINDA FRANCES (PT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:FRANCES
Last Name:VANSCOTEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7083 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:WESTMORELAND
Mailing Address - State:NY
Mailing Address - Zip Code:13490-1223
Mailing Address - Country:US
Mailing Address - Phone:315-853-6944
Mailing Address - Fax:
Practice Address - Street 1:7083 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:NY
Practice Address - Zip Code:13490-1223
Practice Address - Country:US
Practice Address - Phone:315-853-6944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002657-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist