Individual
MRS. KAELIN DEANNA GULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2259 BLUEGRAMA DR, BURLINGTON, KY 41005-6801
(317) 908-1488
Mailing address
2259 BLUEGRAMA DR, BURLINGTON, KY 41005-6801
(317) 908-1488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
165360
KY
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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