Individual
HEIDI ROOT-KULIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OT/L
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 880-5900
Mailing address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 880-5900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03992
MD
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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