Provider Demographics
NPI:1396085049
Name:SCARBROUGH, WENDY ROBERSON (OTR)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ROBERSON
Last Name:SCARBROUGH
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 1:4778 BREAK HEART RD
Mailing Address - Street 2:
Mailing Address - City:CROZET
Mailing Address - State:VA
Mailing Address - Zip Code:22932-2011
Mailing Address - Country:US
Mailing Address - Phone:434-823-8820
Mailing Address - Fax:
Practice Address - Street 1:4778 BREAK HEART RD
Practice Address - Street 2:
Practice Address - City:CROZET
Practice Address - State:VA
Practice Address - Zip Code:22932-2011
Practice Address - Country:US
Practice Address - Phone:434-823-8820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-17
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119002657225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist