Most Relevant Information
Provider Data
| NPI Number: | 1003567439 |
| Provider Name: | KATHRYN MAZINGO |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/18/2022 |
| Last Updated: | 10/17/2022 |
Provider Practice Location
3851 COMMERCIAL CENTER DR
LADSON
SC
294564146
Practice Location Phone/Fax
| Phone: | 8433145434 |
| Fax: |
Provider Mailing Location
3851 COMMERCIAL CENTER DR
LADSON
SC
294564146
Provider Mailing Phone/Fax
| Phone: | 8433145434 |
| Fax: |