Provider Demographics
NPI:1134591464
Name:GILHULY, CAITLIN LEE (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:CAITLIN
Middle Name:LEE
Last Name:GILHULY
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 1:255 S CHEROKEE ST APT 2322
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-2057
Mailing Address - Country:US
Mailing Address - Phone:860-575-6391
Mailing Address - Fax:
Practice Address - Street 1:255 S CHEROKEE ST APT 2322
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80223-2057
Practice Address - Country:US
Practice Address - Phone:860-575-6391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0004454225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist