Provider Demographics
NPI:1902036072
Name:ADAMS, DENISE KULCZYCKI (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:KULCZYCKI
Last Name:ADAMS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4229 SOUTHRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-4704
Mailing Address - Country:US
Mailing Address - Phone:801-243-6334
Mailing Address - Fax:435-608-1707
Practice Address - Street 1:4229 SOUTHRIDGE CT
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-4704
Practice Address - Country:US
Practice Address - Phone:801-243-6334
Practice Address - Fax:435-608-1707
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1096204201225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics