Provider Demographics
NPI:1922075175
Name:SCARBOROUGH, WALTER GEORGE JR (PT)
Entity Type:Individual
Prefix:MR
First Name:WALTER
Middle Name:GEORGE
Last Name:SCARBOROUGH
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3137 ADDISON CT
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1810
Mailing Address - Country:US
Mailing Address - Phone:215-891-1898
Mailing Address - Fax:
Practice Address - Street 1:360 OXFORD VALLEY RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-8302
Practice Address - Country:US
Practice Address - Phone:215-943-9000
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013152L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist