Provider Demographics
NPI:1891863700
Name:JONES, SCOTT DOUGLAS (MS, OTR,L)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:DOUGLAS
Last Name:JONES
Suffix:
Gender:M
Credentials:MS, OTR,L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4821
Mailing Address - Country:US
Mailing Address - Phone:410-299-9394
Mailing Address - Fax:
Practice Address - Street 1:212 HAWTHORNE AVE
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4821
Practice Address - Country:US
Practice Address - Phone:410-299-9394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05438225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist