Provider Demographics
NPI:1053773655
Name:SCOTT, ASHLEY LYNN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:SCOTT
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 1:9001 GRAND SUMMIT BLVD
Mailing Address - Street 2:APT 9123
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-3711
Mailing Address - Country:US
Mailing Address - Phone:989-996-5153
Mailing Address - Fax:
Practice Address - Street 1:9001 GRAND SUMMIT BLVD
Practice Address - Street 2:APT 9123
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-3711
Practice Address - Country:US
Practice Address - Phone:989-996-5153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10242225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics