Provider Demographics
NPI:1467529131
Name:SCOTT, DONNA
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 LAKEVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-5713
Mailing Address - Country:US
Mailing Address - Phone:401-477-2685
Mailing Address - Fax:
Practice Address - Street 1:34 CREST ROAD WAY
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1410
Practice Address - Country:US
Practice Address - Phone:781-784-3320
Practice Address - Fax:781-784-3520
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAOT01037225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist