Kathryn Mazingo

NPI #1003567439 in Ladson, South Carolina

Provider Information

NPI Number: 1003567439
Entity Type: Individual
Name: Kathryn Mazingo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 18, 2022
Last Updated: Oct 17, 2022

Practice Location

Address: 3851 COMMERCIAL CENTER DR
City: Ladson
State: South Carolina
ZIP Code: 29456-4146
Phone: (843) 314-5434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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