Meet Our Occupational Therapists & Hand Specialists

Kristin Gulick, OTR/L CHT

kristin.jpgKristin has practiced as an Occupational Therapist for 29 years and has been a Certified Hand Therapist since 1997, with significant expertise in common & unique upper extremity rehabilitation. Her early career was with Shriners Hospital for Children in Portland, Oregon, where she worked extensively with congenital limb anomalies and cerebral palsy in children. Following that, she became the manager of an outpatient hand clinic at a Level One Trauma/Burn Center in Tampa, FL.

In 2004 she was asked to join a major prosthetic rehabilitation group providing upper extremity prosthetic rehabilitation at Walter Reed Army Medical Center for soldiers returning from Iraq and Afghanistan with upper limb amputations.

Kristin worked for a major hand treatment center in Portland for a number of years.  She then chose to relocate to Bend and began providing hand therapy and upper extremity care in 2009 through a local therapy group.  In early 2010, Kristin decided to open her own specialty practice, Hand and Arm Therapy of Central Oregon, to meet the unique and critical needs of her clients.


  • Over 20 national and international presentations, including Keynote Speaker at Columbia University & Loughborough University, UK
  • Co-author of Journal of Hand Therapy article, "Rehabilitation of Upper Limb Amputee" - April 2008
  • Author of Handwriting for Heroes - A Manual to Change Hand Dominance - 2009
  • Co-author of two chapters in Book of military Medicine, Care of the Combat Amputee - 2010
  • Author of chapter in AOTA publication Living Life to Its Fullest - 2010


Nora Barrett, MS, OTR/L, CHT


Nora’s OT practice has been focused on hand therapy and burn injury/wound rehabilitation since 2004, and she completed Advanced Certification in Hand & Upper Quarter Rehabilitation in 2006. Following her 1997 graduation from Washington University, St. Louis, MO, with a master’s degree in occupational therapy, she worked in Boston, MA, at Spaulding Rehabilitation Hospital and Brigham & Women’s Hospital. Between 2004 and 2014, Nora served the MedStar National Rehabilitation Network at Regional Rehab Centers in Washington, DC, at the Curtis National Hand Center in Lutherville, MD, and finally as clinic coordinator of the Outpatient Center for Orthopaedic Rehabilitation and as a burn therapist at MedStar’s Washington Hospital Center in Washington, DC. Joining Hand & Arm Therapy of Central Oregon in July, 2014, Nora finds Bend an ideal environment for an outdoor enthusiast.


  •  Over 15 presentations at national educational conferences, including lectures at the University of Maryland, College Park and Drexel University, Philadelphia, PA
    • Brachial Plexus and Nerve Innervation of the Upper Extremity
    • Clinical Application: Peripheral Nerve Injury
    • Therapist’s Management of Traumatic Hand Injuries
    • Burn Rehabilitation: The Hand Therapist Perspective
    • Evaluation and Treatment of the Adult and Pediatric Hand Burn in the Webspace
    • Clinical Pearls: Orthotics for the Treatment of Delayed Healing Dorsal Hand Burns
  • American Society of Hand Therapists: member of the Education Division and the Annual Meeting Committee; course faculty and coordinator for the Hand Therapy Review Course; instructor, Hands On Orthotics
  • American Burn Association: member and frequent presenter at the ABA Annual Meeting PT/OT Special Interest Group


Emily Micho, MS, OTR/L

 Em_Bio_pic_crop.jpgEmily’s career in Occupational Therapy began in 2012 after graduating from Colorado State University in Fort Collins, Colorado. Early on in graduate school, she developed an interest in hand and upper extremity rehabilitation, and furthered her training in this setting with completing fieldwork at Howard Head Sports Medicine in Frisco, Colorado. 

 She went on to take her first job following OT school with the same company, in Vail, Colorado. Working in the heart of an active mountain community at Vail Valley Medical Center provided her with the opportunity to work alongside prestigious orthopedic surgeons, while gaining experience in treating both elective and traumatic orthopedic surgeries. As an inpatient therapist who also continued to work in outpatient hand therapy, she developed a well-rounded expertise in treating a wide variety of medical conditions, ski injuries, and sports related traumas. 

 Emily moved to Central Oregon in the fall of 2015 to begin her newest chapter. She is thrilled to be working at Hand and Arm Therapy of Central Oregon, where she can focus on her passion for helping patients regain functional use of their upper extremities to better enjoy their work and play in this beautiful state.


  •  Developed and implemented a multidisciplinary Dysphagia screening and treatment program at Vail Valley Medical Center for increased safety with swallowing disorders
  • Presented to inpatient therapists of Howard Head Sports Medicine on evaluation and treatment of patients with Dementia to provide best quality of care practices
  • Provided safety trainings for hospital staff at Vail Valley Medical Center
  • Orthopedic brace training for compliance and safety with patient’s post-surgical protocols
  • Functional mobility and transfer techniques for fall prevention program