Provider Demographics
NPI:1992004063
Name:KULIKOWSKI, BETHANY ERIN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:BETHANY
Middle Name:ERIN
Last Name:KULIKOWSKI
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:BETHANY
Other - Middle Name:ERIN
Other - Last Name:FRIEDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:596 SHELDON RD
Mailing Address - Street 2:
Mailing Address - City:ST ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478
Mailing Address - Country:US
Mailing Address - Phone:802-524-6534
Mailing Address - Fax:802-524-2429
Practice Address - Street 1:596 SHELDON RD
Practice Address - Street 2:
Practice Address - City:ST ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478
Practice Address - Country:US
Practice Address - Phone:802-524-6534
Practice Address - Fax:802-524-2429
Is Sole Proprietor?:No
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT073.0000106224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant