Provider Demographics
NPI:1033294814
Name:PFEUFER, DAVID SCOTT (MPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:SCOTT
Last Name:PFEUFER
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 WILLIAMSON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-5973
Mailing Address - Country:US
Mailing Address - Phone:704-660-7070
Mailing Address - Fax:704-664-5575
Practice Address - Street 1:363 WILLIAMSON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-5973
Practice Address - Country:US
Practice Address - Phone:704-660-7070
Practice Address - Fax:704-664-5575
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9363225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist