Individual
MRS. KATHY J KICHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
317 HIGHBROOK RD, PANAMA CITY, FL 32404-9811
(256) 541-5083
Mailing address
109 CANDLEWICK CIR, PANAMA CITY, FL 32405-3257
(850) 890-0229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1079
FL
Other
Enumeration date
11/27/2021
Last updated
11/30/2021
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