Provider Demographics
NPI:1316405780
Name:SCIOTTI, VANESSA MARIE (OTR/L, CIMI-2)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:MARIE
Last Name:SCIOTTI
Suffix:
Gender:F
Credentials:OTR/L, CIMI-2
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:MARIE
Other - Last Name:PURDUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, CIMI-2
Mailing Address - Street 1:514 S BROWN ST STE 600
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:TN
Mailing Address - Zip Code:37172-2948
Mailing Address - Country:US
Mailing Address - Phone:615-382-0500
Mailing Address - Fax:615-382-0501
Practice Address - Street 1:514 S BROWN ST STE 600
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-2948
Practice Address - Country:US
Practice Address - Phone:615-382-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5711225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics