Sandra A. Kulick, COTA

Individual provider Active NPI Occupational Therapy Assistant · Northampton, PA

NPI 1891863015 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891863015
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP-000476 L (PA)
Practice address
1001 Washington Ave
Northampton, PA 18067-2005
Phone
(610) 262-3145
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OP-000476 LPAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP-000476 L PA Yes

Addresses

Primary practice location

1001 Washington Ave
Northampton, PA 18067-2005

Mailing address

2222 Sullivan TRL
Easton, PA 18040-7958

Other providers in Northampton, PA

All providers in Northampton, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.