Provider Demographics
NPI:1639409998
Name:GULICK, AMIE MORRISON (OTR)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:MORRISON
Last Name:GULICK
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8199 E 28TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2507
Mailing Address - Country:US
Mailing Address - Phone:720-255-7688
Mailing Address - Fax:303-872-9033
Practice Address - Street 1:7869 E 28TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2435
Practice Address - Country:US
Practice Address - Phone:303-872-9033
Practice Address - Fax:303-872-9033
Is Sole Proprietor?:No
Enumeration Date:2010-01-10
Last Update Date:2010-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1767225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist