Provider Demographics
NPI:1518680578
Name:WATTS, SCOTT MCCAIN (COTA)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:MCCAIN
Last Name:WATTS
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 PARK CT
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29341-1275
Mailing Address - Country:US
Mailing Address - Phone:864-206-0006
Mailing Address - Fax:
Practice Address - Street 1:101 PARK CT
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-1275
Practice Address - Country:US
Practice Address - Phone:864-206-0006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3720224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant