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NPI Code Detail

MEDICARE: KRISTIN NICOLE BURROUGHS MSOT, OTR/L

MEDICARE: KRISTIN NICOLE BURROUGHS MSOT, 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 Therapist7843SC

General Provider Information

NPI Number : 1518822956
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN NICOLE BURROUGHS MSOT, OTR/L
Provider Business Mailing Address
First Line : 1698 HIGHWAY 160 W STE 240
Second Line :
City : FORT MILL
State : SC
Zip : 29708-8035
Country : US
Telephone Number : 704-654-8599
Fax Number : 980-938-6088
Provider Business Practice Location Address
First Line : 1698 HIGHWAY 160 W STE 240
Second Line :
City : FORT MILL
State : SC
Zip : 29708-8035
Country : US
Telephone Number : 704-654-8599
Fax Number : 980-938-6088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 03/06/2026

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Directions to “ KRISTIN NICOLE BURROUGHS MSOT, OTR/L” Practice Location

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