Provider Demographics
NPI:1437305182
Name:GULLA, KARA M (PT)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:M
Last Name:GULLA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BELMONT ST
Mailing Address - Street 2:UMMMC DEPT OF REHABILITATION
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2650
Mailing Address - Country:US
Mailing Address - Phone:508-334-8700
Mailing Address - Fax:
Practice Address - Street 1:969 MAIN ST UNIT 7
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054-1555
Practice Address - Country:US
Practice Address - Phone:508-918-2185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18378225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist