Provider Demographics
NPI:1982168753
Name:BEHRHORST, KATHRYN CHARRON (OTR/L)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:CHARRON
Last Name:BEHRHORST
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:CHARRON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:203 CASTLEBURY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-5629
Mailing Address - Country:US
Mailing Address - Phone:919-749-1626
Mailing Address - Fax:
Practice Address - Street 1:203 CASTLEBURY CREEK CT
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-5629
Practice Address - Country:US
Practice Address - Phone:919-749-1626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12279225XP0200X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics