# SCOTILLIA NOEL FOGG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598186843
- **Gender:** F
- **Credential:** OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 115635 | TX | — |
| 225X00000X | Occupational Therapist | 8544 | NC | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XN1300X | Neurorehabilitation Occupational Therapist | 8544 | NC | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | 8544 | NC | — |

## Other

- **Enumeration date:** 01/03/2014
- **Last updated:** 12/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Q49100E346 | MEDICARE PTAN | NC |