Individual
CHRISTINE LYSYEZYN KULIKOWKSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL CHT OCCUPATIONA
Contact information
Practice address
555 E MARKET ST, ELMIRA, NY 14901
(607) 737-7818
(607) 737-1510
Mailing address
203 FAIRVIEW DRIVE, BATH, NY 14810
(607) 776-0058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0081481
NY
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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