Provider Demographics
NPI:1447319736
Name:SCORSONE, BRIAN PETER (MS, ATC)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:PETER
Last Name:SCORSONE
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 WOODSEDGE DR
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:17889-9451
Mailing Address - Country:US
Mailing Address - Phone:570-577-3046
Mailing Address - Fax:
Practice Address - Street 1:BUCKNELL UNIVERSITY
Practice Address - Street 2:DEPARTMENT OF ATHLETICS & RECREATION
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837
Practice Address - Country:US
Practice Address - Phone:570-577-3046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0034192255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer