Healthcare Provider Details

I. General information

NPI: 1942037650
Provider Name (Legal Business Name): CATHRYN GARBARINO COF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10030 PARK CEDAR DR STE 101
CHARLOTTE NC
28210-8901
US

IV. Provider business mailing address

10030 PARK CEDAR DR STE 101
CHARLOTTE NC
28210-8901
US

V. Phone/Fax

Practice location:
  • Phone: 919-753-8445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberC53333
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: