Provider Demographics
NPI:1861834244
Name:KIMEL-SCOTT, DOROTHY (PT)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:KIMEL-SCOTT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 SPRUNT ST
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7811
Mailing Address - Country:US
Mailing Address - Phone:984-974-2560
Mailing Address - Fax:919-843-2195
Practice Address - Street 1:100 SPRUNT ST
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7811
Practice Address - Country:US
Practice Address - Phone:984-974-2560
Practice Address - Fax:919-843-2195
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13792225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist