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Individual

KATHERINE BROOKS VAN GURP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3620 COVENANT RD, COLUMBIA, SC 29204-4216
(803) 787-3033
Mailing address
337 KINDLING WOOD LN, WAXHAW, NC 28173-6802
(704) 936-7000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
14346
NC
225X00000X
Occupational Therapist
Primary
6323
SC

Other

Enumeration date
10/06/2021
Last updated
10/06/2021
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