Provider Demographics
NPI:1700670619
Name:SCCOTT, STEPHANIE JANE (OTR/L)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:JANE
Last Name:SCCOTT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2251 RED BARN DR
Mailing Address - Street 2:
Mailing Address - City:FURLONG
Mailing Address - State:PA
Mailing Address - Zip Code:18925-1191
Mailing Address - Country:US
Mailing Address - Phone:201-259-4284
Mailing Address - Fax:
Practice Address - Street 1:2251 RED BARN DR
Practice Address - Street 2:
Practice Address - City:FURLONG
Practice Address - State:PA
Practice Address - Zip Code:18925-1191
Practice Address - Country:US
Practice Address - Phone:201-259-4284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012966225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist