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NPI Code Detail

MEDICARE: MRS. KATIE DEMARIA CURRIE OT

MEDICARE: MRS. KATIE DEMARIA CURRIE OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist3072SC

General Provider Information

NPI Number : 1316051493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATIE DEMARIA CURRIE OT
Provider Business Mailing Address
First Line : 850 E BUTLER RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-5842
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 850 E BUTLER RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-5842
Country : US
Telephone Number : 864-927-9453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 02/22/2016

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