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Individual

KRISTIN L GULICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

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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