Basic Information
Provider Information
NPI: 1740667948
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORROW
FirstName: KATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MORROW
OtherFirstName: KACEY
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: OTR/L
OtherLastNameType: 5
Mailing Information
Address1: 4390 BELLE OAKS DR
Address2: SUITE 120
City: NORTH CHARLESTON
State: SC
PostalCode: 294058559
CountryCode: US
TelephoneNumber: 8665712700
FaxNumber: 8775712124
Practice Location
Address1: 140 TOKEENA RD
Address2:  
City: SENECA
State: SC
PostalCode: 296781744
CountryCode: US
TelephoneNumber: 8648821642
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/27/2015
LastUpdateDate: 04/27/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XP0019X1939SCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation

No ID Information.


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