MEDICARE: MS. KRISTIN VARN MSR, 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
1	225XP0200X	Pediatric Occupational Therapist	2690	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376571661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTIN VARN MSR, OTR/L

Provider Business Mailing Address
First Line	:	1437 WATERS EDGE DRIVE
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29492
Country	:	US
Telephone Number	:	843-442-1057
Fax Number	:	843-388-2627

Provider Business Practice Location Address
First Line	:	1437 WATERS EDGE DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29492-8012
Country	:	US
Telephone Number	:	843-442-1057
Fax Number	:	843-388-2627

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	02/28/2008

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