Provider Demographics
NPI:1669805610
Name:SCOTT, CARLA ELIZABETH (PT)
Entity type:Individual
Prefix:MRS
First Name:CARLA
Middle Name:ELIZABETH
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:3500 ELLINGTON STREET
Mailing Address - Street 2:DR. CARLTON WATKINS CENTER
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211
Mailing Address - Country:US
Mailing Address - Phone:704-336-7534
Mailing Address - Fax:704-336-2423
Practice Address - Street 1:3500 ELLINGTON STREET
Practice Address - Street 2:DR. CARLTON WATKINS CENTER
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211
Practice Address - Country:US
Practice Address - Phone:704-336-7534
Practice Address - Fax:704-336-2423
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-14
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC19172251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics