Provider Demographics
NPI:1922258698
Name:SCOTT, GERALDINE AHERN (PT, MPT)
Entity Type:Individual
Prefix:
First Name:GERALDINE
Middle Name:AHERN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:GERALDINE
Other - Middle Name:
Other - Last Name:AHERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, MPT
Mailing Address - Street 1:PO BOX 179
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-0179
Mailing Address - Country:US
Mailing Address - Phone:410-877-0222
Mailing Address - Fax:410-877-2599
Practice Address - Street 1:2300 BEL AIR RD
Practice Address - Street 2:
Practice Address - City:FALLSTON
Practice Address - State:MD
Practice Address - Zip Code:21047-2749
Practice Address - Country:US
Practice Address - Phone:410-877-0222
Practice Address - Fax:410-877-2599
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22659225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist