Doctor Name: | MS. CAROLYN MARY KUS |
NPI Number: | 1508034422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | OT00000467 |
Business Practice Address: | 1947 Fircrest Ave Coupeville, WA - 982399647 |
Business Phone Number: | 3606781273 |
Business Fax Number: | |
Mailing Address: | 1947 Fircrest Ave, COUPEVILLE |
State: | WA |
Postal Code: | 982399647 |
Phone Number: | 3606781273 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2008 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XN1300X |
License Number: | OT00000467 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Neurorehabilitation |
Taxonomy Definition: |