Provider Demographics
NPI:1801216577
Name:SCOTT, SHERRY B (OTR/L PHD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:B
Last Name:SCOTT
Suffix:
Gender:F
Credentials:OTR/L PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7536 GARDNER PARK DR
Mailing Address - Street 2:SUITE 7536
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-3414
Mailing Address - Country:US
Mailing Address - Phone:703-754-4770
Mailing Address - Fax:703-754-4435
Practice Address - Street 1:7536 GARDNER PARK DR
Practice Address - Street 2:SUITE 7536
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-3414
Practice Address - Country:US
Practice Address - Phone:703-754-4770
Practice Address - Fax:703-754-4435
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119000967225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist