Provider Demographics
NPI:1770193351
Name:PARINI, KATHARYN F (OTR/L)
Entity Type:Individual
Prefix:
First Name:KATHARYN
Middle Name:F
Last Name:PARINI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 COUNTY ROAD 421
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-4129
Mailing Address - Country:US
Mailing Address - Phone:508-292-6874
Mailing Address - Fax:
Practice Address - Street 1:9737 GREAT HILLS TRL STE 120
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6418
Practice Address - Country:US
Practice Address - Phone:512-872-2180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021131225X00000X
TX120971225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist