| NPI | 1720446974 |
|---|---|
| Former Name | REBECCA KOTLICKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 2892) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MD 07750) |
| 225X00000X Occupational Therapist (Licence: VT 072.0134430) | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2024-12-31 |