Individual
MRS. KELLI RUTH SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1319 SUNSET DR, SUITE102, JOHNSON CITY, TN 37604-3799
(423) 534-8897
(423) 328-8662
Mailing address
1319 SUNSET DR, SUITE102, JOHNSON CITY, TN 37604-3799
(423) 534-8897
(423) 328-8662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119003962
VA
225XP0200X
Pediatric Occupational Therapist
Primary
3271
TN
Other
Enumeration date
01/31/2013
Last updated
01/12/2015
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