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NPI Code Detail

MEDICARE: KATHERINE TURNER CHILDREY OTD, OTR/L

MEDICARE: KATHERINE TURNER CHILDREY OTD, 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
1225XP0200XPediatric Occupational Therapist7408SC
2225X00000XOccupational Therapist7408SC

General Provider Information

NPI Number : 1770399339
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE TURNER CHILDREY OTD, OTR/L
Provider Business Mailing Address
First Line : 1532 TELFAIR WAY
Second Line :
City : CHARLESTON
State : SC
Zip : 29412-2382
Country : US
Telephone Number : 919-906-1032
Fax Number :
Provider Business Practice Location Address
First Line : 672 MARINA DR STE 104
Second Line :
City : CHARLESTON
State : SC
Zip : 29492-9084
Country : US
Telephone Number : 843-806-3110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2024
Last Update Date : 12/09/2024

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Directions to “ KATHERINE TURNER CHILDREY OTD, OTR/L” Practice Location

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