Healthcare Provider Details

I. General information

NPI: 1073370748
Provider Name (Legal Business Name): PATRICIA ANN HULICK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 02/29/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 WILLIAMSBURG WAY
LANSDALE PA
19446-4373
US

IV. Provider business mailing address

106 WILLIAMSBURG WAY
LANSDALE PA
19446-4373
US

V. Phone/Fax

Practice location:
  • Phone: 267-664-9551
  • Fax:
Mailing address:
  • Phone: 267-664-9551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC016318
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: