Healthcare Provider Details

I. General information

NPI: 1740667948
Provider Name (Legal Business Name): KATHERINE MORROW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KACEY MORROW OTR/L

II. Dates (important events)

Enumeration Date: 04/27/2015
Last Update Date: 04/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 TOKEENA RD
SENECA SC
29678-1744
US

IV. Provider business mailing address

4390 BELLE OAKS DR SUITE 120
NORTH CHARLESTON SC
29405-8559
US

V. Phone/Fax

Practice location:
  • Phone: 864-882-1642
  • Fax:
Mailing address:
  • Phone: 866-571-2700
  • Fax: 877-571-2124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number1939
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: