Provider Demographics
NPI:1841465614
Name:VANBRAMER, SCOTT DAVID (PT)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:DAVID
Last Name:VANBRAMER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 HUBBARD DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8124
Mailing Address - Country:US
Mailing Address - Phone:740-785-5231
Mailing Address - Fax:740-785-5489
Practice Address - Street 1:1506 HUBBARD DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8124
Practice Address - Country:US
Practice Address - Phone:740-785-5231
Practice Address - Fax:740-785-5489
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5754225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist