Individual
GAYLA J KULWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2921 W 1ST ST, COFFEYVILLE, KS 67337-2441
(620) 870-9686
Mailing address
1099 HIGHLAND CT, APT. F, COFFEYVILLE, KS 67337-2941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800657
KS
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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