Provider Demographics
NPI:1043538663
Name:SCAFIDI, GERALDINE (OT)
Entity type:Individual
Prefix:
First Name:GERALDINE
Middle Name:
Last Name:SCAFIDI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 TRENT DR
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-7576
Mailing Address - Country:US
Mailing Address - Phone:843-357-4092
Mailing Address - Fax:
Practice Address - Street 1:1233 TRENT DR
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7576
Practice Address - Country:US
Practice Address - Phone:843-357-4092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3530225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist