MEDICARE: CHRISTINA MARIE SCOTT

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
1	225X00000X	Occupational Therapist	002069	IA

General Provider Information

NPI Number	:	1053834630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA MARIE SCOTT

Provider Business Mailing Address
First Line	:	4725 MERLE HAY RD STE 17
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50322-1983
Country	:	US
Telephone Number	:	515-331-3190
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 INDIAN HILLS DR
Second Line	:
City	:	BURLINGTON
State	:	IA
Zip	:	52601-9406
Country	:	US
Telephone Number	:	319-752-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2017
Last Update Date	:	07/25/2017

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Directions to “ CHRISTINA MARIE SCOTT ” Practice Location

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