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NPI Code Detail

MEDICARE: TAMMY L SCOTT OTA

MEDICARE:   TAMMY L SCOTT  OTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant2007011706MO

General Provider Information

NPI Number : 1265607824
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY L SCOTT OTA
Provider Business Mailing Address
First Line : 1101B CARRIAGE LN
Second Line :
City : CAMERON
State : MO
Zip : 64429-1271
Country : US
Telephone Number : 615-896-6400
Fax Number :
Provider Business Practice Location Address
First Line : 2601 FAIR ST
Second Line :
City : CHILLICOTHEE
State : MO
Zip : 64601-3525
Country : US
Telephone Number : 675-896-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2008
Last Update Date : 04/24/2008

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Directions to “ TAMMY L SCOTT OTA” Practice Location

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