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Octavia Scott
NPI 1467207365 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1 Northbrook Cir Apt 21
Fairview Heights, IL 62208 - Phone
- (618) 530-8531
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois