Provider Demographics
NPI:1518475474
Name:UHLIG, ANNE GOREE (COTA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:GOREE
Last Name:UHLIG
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 OREM ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT SHASTA
Mailing Address - State:CA
Mailing Address - Zip Code:96067-2425
Mailing Address - Country:US
Mailing Address - Phone:714-318-7852
Mailing Address - Fax:
Practice Address - Street 1:445 PARK ST
Practice Address - Street 2:
Practice Address - City:WEED
Practice Address - State:CA
Practice Address - Zip Code:96094-2332
Practice Address - Country:US
Practice Address - Phone:530-938-4429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant