Individual
KATHLEEN SUZANNE ULSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(757) 461-5001
Mailing address
318 NORTH ST APT 5, PORTSMOUTH, VA 23704-2614
(757) 581-3808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005626
VA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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