Individual
KATELYN ROSE GULLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1565 HILL RD, NOVATO, CA 94947-4063
(415) 897-6161
Mailing address
606 LION ST, OJAI, CA 93023-2714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19142
CA
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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