Provider Demographics
NPI:1285132167
Name:SCOTT, CHERISH RENEE (MS OTR/L)
Entity type:Individual
Prefix:
First Name:CHERISH
Middle Name:RENEE
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 1:2625 NIBLICK WAY
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-8182
Mailing Address - Country:US
Mailing Address - Phone:720-318-0465
Mailing Address - Fax:
Practice Address - Street 1:2625 NIBLICK WAY
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-8182
Practice Address - Country:US
Practice Address - Phone:720-318-0465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-25
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT007643225X00000X
FLOT18781225X00000X
DCOT010001425225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist