Provider Demographics
NPI:1487933065
Name:OSHER, KRISTOPHER C (MOT, OTR/L)
Entity type:Individual
Prefix:MR
First Name:KRISTOPHER
Middle Name:C
Last Name:OSHER
Suffix:
Gender:M
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3518 OLD LAMPLIGHTER RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-3420
Mailing Address - Country:US
Mailing Address - Phone:404-909-4248
Mailing Address - Fax:
Practice Address - Street 1:100 TARRAR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-3835
Practice Address - Country:US
Practice Address - Phone:803-821-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-12
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT004920225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist