Individual
MRS. KERRI LEE GULLICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
325 E FLORIDA AVE, APPLETON, WI 54911-1325
(920) 731-7310
(920) 733-3050
Mailing address
325 E FLORIDA AVE, APPLETON, WI 54911-1325
(920) 731-7310
(920) 733-3050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3010-026
WI
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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