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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SCOTT FORMAN, PT

Active

SCOTT FORMAN, PT is a Physical Therapy Assistant healthcare provider located in CAMDEN, New Jersey. NPI 1609920875 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CAMDEN, NJ

Registration Details

NPI Number
1609920875
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2007 (19.562560767579 yrs)
Last Updated
Jul 8, 2007
License
40QA01034500 (NJ)

Practice Information

Address
1 COOPER PLZ
COOPER UNIVERSITY HOSPITAL
CAMDEN, NJ, 081031461
Browse NJ providers · Browse ZIP 08103
Phone
8563422739
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in CAMDEN, NJ

Name Credential NPI
SHAILA A BAPAT PT 1881748002
DWIGHT J. HEALY PT 1780738930
JENNIFER TIEDEKEN PT 1508910746
BARBARA A. LEUSNER PT 1467506790
STEPHEN NASTASI PT 1487708749
MICHELLE DIPAOLO PT 1568516748
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.