Individual
MRS. KATHY F. STELIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000079
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130000079CT03
BCBS ID NUMBER
CT
01
—
29195-6
BCBS RI NUMBER
RI
01
—
2V7212
HEALTHNET ID NUMBER
CT
Enumeration date
09/13/2006
Last updated
06/23/2011
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