Provider Demographics
NPI:1528020740
Name:KULA, PATRICIA (ATC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:KULA
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 BAXTER RD
Mailing Address - Street 2:#6F
Mailing Address - City:WILLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06279-1805
Mailing Address - Country:US
Mailing Address - Phone:860-486-0480
Mailing Address - Fax:
Practice Address - Street 1:2111 HILLSIDE RD
Practice Address - Street 2:U-3078
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06269-9002
Practice Address - Country:US
Practice Address - Phone:860-486-0480
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer