Individual
KRISTIN L GULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
2100 NE NEFF RD, SUITE A, BEND, OR 97701-6213
(541) 633-7535
(541) 706-9036
Mailing address
PO BOX 7377, BEND, OR 97708-7377
(541) 633-7535
(541) 706-9036
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
914195
OR
225XH1200X
Hand Occupational Therapist
OT00003451
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0255903
WASHINGTON L & I
WA
05
—
115514
—
OR
Enumeration date
11/28/2005
Last updated
03/27/2015
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