Hillary Scruggs, COTA

Individual provider Active NPI Occupational Therapy Assistant · Fort Myers, FL

NPI 1679933758 · NPPES record last updated Mar 2, 2016

Key facts

NPI
1679933758
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA15100 (FL)
Practice address
6360 Techster Blvd
Suite 1
Fort Myers, FL 33966-4805
Phone
(239) 223-2751
Fax
(239) 561-2933
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OTA15100FLMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA15100 FL Yes

Addresses

Primary practice location

6360 Techster Blvd
Suite 1
Fort Myers, FL 33966-4805

Mailing address

6360 Techster Blvd
Suite 1
Fort Myers, FL 33966-4805
Phone (239) 223-2751

Other providers in Fort Myers, FL

All providers in Fort Myers, FL · Occupational Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.