Individual
KRISTIE L BULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Mailing address
16069 US HIGHWAY 6 AND 19 APT 4, MEADVILLE, PA 16335-9694
(814) 460-3330
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007935
PA
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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