Individual
KATHERINE MAE RABASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
989 RIBAUT RD, ST 360, BEAUFORT, SC 29902-5472
(843) 522-5900
Mailing address
989 RIBAUT RD, ST 360, BEAUFORT, SC 29902-5472
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4383
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225X00000X
—
SC
Enumeration date
10/27/2014
Last updated
10/27/2014
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