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NPI Code Detail

MEDICARE: MRS. CATHERINE JANE RATHBUN OT

MEDICARE:  MRS. CATHERINE JANE RATHBUN  OT
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 Therapist4878SC

General Provider Information

NPI Number : 1972090496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE JANE RATHBUN OT
Provider Business Mailing Address
First Line : 2935 COLONIAL DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6811
Country : US
Telephone Number : 727-686-5713
Fax Number :
Provider Business Practice Location Address
First Line : 218 OLD CHAPIN RD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-2030
Country : US
Telephone Number : 727-686-5713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2018
Last Update Date : 04/19/2018

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Directions to “ MRS. CATHERINE JANE RATHBUN OT” Practice Location

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