Individual
KYLE GULAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2031 POTTERY AVE, PORT ORCHARD, WA 98366-2010
(360) 876-8035
Mailing address
200 LIPPERT DR W, APT E324, PORT ORCHARD, WA 98366-2084
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60200829
WA
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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