Deborah J Scafate, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Millersport, OH

NPI 1801358197 · NPPES record last updated Apr 4, 2019

Key facts

NPI
1801358197
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA.000803 (OH)
Practice address
12145 4TH Ave
Millersport, OH 43046-8064
Phone
(330) 936-3074
NPI assigned
Apr 4, 2019
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)
No

State licenses

LicenseStateTypeSpecialty
OTA.000803OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.000803 OH Yes

Addresses

Primary practice location

12145 4TH Ave
Millersport, OH 43046-8064

Mailing address

339 E Maple St
North Canton, OH 44720-2593
Phone (330) 498-8200

Other providers in Millersport, OH

All providers in Millersport, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.