Kaelin Deanna Gulla, COTA/L
Occupational Therapy Assistant in Burlington, KY. Individual provider (NPI-1).
NPI number1164054573
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1164054573
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kaelin Deanna Gulla
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2020
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 165360 | KY | Yes |
Practice location
2259 Bluegrama DrBurlington, KY 41005-6801
Phone 317-908-1488
Mailing address
2259 Bluegrama DrBurlington, KY 41005-6801
Phone 317-908-1488
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