Provider Demographics
NPI:1801140801
Name:SUTTON, GARY SCOTT (DPT, ATC)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:SCOTT
Last Name:SUTTON
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Gender:M
Credentials:DPT, ATC
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Mailing Address - Street 1:7650 E. PARHAM RD. MOB II SUITE 120
Mailing Address - Street 2:REHABILITATION CENTER AT PARHAM DOCTORS' HOSPITAL
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4367
Mailing Address - Country:US
Mailing Address - Phone:804-545-4952
Mailing Address - Fax:804-545-4953
Practice Address - Street 1:7650 E. PARHAM RD. MOB II SUITE 120
Practice Address - Street 2:REHABILITATION CENTER AT PARHAM DOCTORS' HOSPITAL
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4367
Practice Address - Country:US
Practice Address - Phone:804-545-4952
Practice Address - Fax:804-545-4953
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA23050015582251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic