Provider Demographics
NPI:1972756567
Name:SCARBERRY, SAVANAH (MS OTR/L)
Entity type:Individual
Prefix:
First Name:SAVANAH
Middle Name:
Last Name:SCARBERRY
Suffix:
Gender:F
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 1:11231 N STATE HIGHWAY 23
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:AR
Mailing Address - Zip Code:72855-5581
Mailing Address - Country:US
Mailing Address - Phone:501-253-0004
Mailing Address - Fax:
Practice Address - Street 1:11231 N STATE HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:AR
Practice Address - Zip Code:72855-5581
Practice Address - Country:US
Practice Address - Phone:501-253-0004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR2203225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist