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Individual

MR. SCOTT ANTHONY KATHMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, STC

Contact information

Practice address
4 OKATIE CENTER BLVD. S., STE. 101, OKATIE, SC 29909-7530
(843) 705-9480
(843) 705-9481
Mailing address
4 OKATIE CENTER BLVD. S., STE. 101, OKATIE, SC 29909-7530
(843) 705-9480
(843) 705-9481

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5142
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
187190
MEDCOST PROVIDER NUMBER
SC
01
P00656488
RAILROAD PROVIDER NUMBER
SC
Enumeration date
07/03/2006
Last updated
08/04/2009
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