Provider Demographics
NPI:1992001796
Name:SCOTESE-WOJTILA, LYNETTE (OTR/L)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:
Last Name:SCOTESE-WOJTILA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28700 EUCLID AVE
Mailing Address - Street 2:#120
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2527
Mailing Address - Country:US
Mailing Address - Phone:216-965-6106
Mailing Address - Fax:
Practice Address - Street 1:28700 EUCLID AVE
Practice Address - Street 2:#120
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-2527
Practice Address - Country:US
Practice Address - Phone:216-965-6106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-01894225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist