Doctor Name: | RUTH CHIAPETTA KULBACKI |
NPI Number: | 1053729095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 056.002782 |
Business Practice Address: | 2944 Salem Cir Mount Pleasant, WI - 534061828 |
Business Phone Number: | 2626334706 |
Business Fax Number: | 2626334706 |
Mailing Address: | 2944 Salem Cir, MOUNT PLEASANT |
State: | WI |
Postal Code: | 534061828 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/22/2014 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 056.002782 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |