MEDICARE: MRS. CHRISTINE TAYLOR-KATHE PTA

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	225200000X	Physical Therapy Assistant	1853	SC

General Provider Information

NPI Number	:	1457494023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE TAYLOR-KATHE PTA

Provider Business Mailing Address
First Line	:	16 PONCE DE LEON DR
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-1027
Country	:	US
Telephone Number	:	864-271-7218
Fax Number	:

Provider Business Practice Location Address
First Line	:	FURMAN UNIVERSITY
Second Line	:	3300 POINSETT HIGHWAY
City	:	GREENVILLE
State	:	SC
Zip	:	29613-0001
Country	:	US
Telephone Number	:	864-294-2130
Fax Number	:

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	07/08/2007

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