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NPI Code Detail

MEDICARE: MR. KRISTOPHER C. OSHER MOT, OTR/L

MEDICARE: MR. KRISTOPHER C. OSHER MOT, OTR/L
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 TherapistOT004920GA

General Provider Information

NPI Number : 1487933065
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KRISTOPHER C. OSHER MOT, OTR/L
Provider Business Mailing Address
First Line : 3518 OLD LAMPLIGHTER RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29206-3420
Country : US
Telephone Number : 404-909-4248
Fax Number :
Provider Business Practice Location Address
First Line : 100 TARRAR SPRINGS RD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-3835
Country : US
Telephone Number : 803-821-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2011
Last Update Date : 12/02/2019

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