Individual
KATELYN DEANNA SURPRENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1563 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4248
(843) 722-2411
Mailing address
1563 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4248
(843) 722-2411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13893
MA
225X00000X
Occupational Therapist
Primary
7597
SC
Other
Enumeration date
03/24/2021
Last updated
09/04/2025
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