Provider Demographics
NPI:1639715394
Name:SCOFIELD, FRANK (RPT)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:SCOFIELD
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 YALE PL
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93033-7204
Mailing Address - Country:US
Mailing Address - Phone:805-766-3697
Mailing Address - Fax:
Practice Address - Street 1:2100 OUTLET CENTER DR STE 380
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0627
Practice Address - Country:US
Practice Address - Phone:805-385-4180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT5609225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist