Provider Demographics
NPI:1336540673
Name:PERRY, KATHRYN BLAIR (MSR, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:BLAIR
Last Name:PERRY
Suffix:
Gender:F
Credentials:MSR, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 COPAHEE RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2506
Mailing Address - Country:US
Mailing Address - Phone:843-937-6300
Mailing Address - Fax:
Practice Address - Street 1:276 COPAHEE RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-2506
Practice Address - Country:US
Practice Address - Phone:843-343-4964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist