Individual
MRS. DANA SUE KULICK X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
332 STABLE LN, WENTZVILLE, MO 63385-5447
(636) 332-4940
Mailing address
1380 ESPOWE LN, VILLA RIDGE, MO 63089-2737
(636) 742-3696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2007031187
MO
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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