Individual
DANIELLE GULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
193 S 160TH ST, GIRARD, KS 66743-2169
(620) 238-0614
Mailing address
193 S 160TH ST, GIRARD, KS 66743-2169
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01264
KS
224Z00000X
Occupational Therapy Assistant
OTA.0000776
CO
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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