Individual
KATIE A BULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
390 NORTH LOOP RD, FORT IRWIN, CA 92310
(866) 957-9224
Mailing address
8614 RHINELAND DR APT A, FORT IRWIN, CA 92310-2611
(254) 495-4505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0009060
CO
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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