Individual
KATIE BULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-5591
Mailing address
4423 W SPEER RD, HANOVER, IL 61041-9537
(815) 541-6405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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