Provider Demographics
NPI:1831075480
Name:SCOTT, JENNIFER GRACE (OTR)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:GRACE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 CARMICHAEL RD
Mailing Address - Street 2:
Mailing Address - City:OWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13827-3305
Mailing Address - Country:US
Mailing Address - Phone:607-972-4478
Mailing Address - Fax:
Practice Address - Street 1:1695 ALLEN GLEN RD
Practice Address - Street 2:
Practice Address - City:OWEGO
Practice Address - State:NY
Practice Address - Zip Code:13827-3433
Practice Address - Country:US
Practice Address - Phone:607-725-7420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist