# ELIZABETH MARIE SULLIVAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598958167
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT01159 | RI | Yes |

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 01/15/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2058 | NHPRC | RI |
| 01 | — | 2092 | EI NHPRC | RI |
| 01 | — | 292177 | EI BCROSS | RI |
| 01 | — | 412296 | EI BCHIP | RI |
| 01 | — | 6400144 | EI UNITED | RI |
| 05 | — | 9009994 | — | RI |
| 01 | — | 99947 | BCROSS | RI |
| 05 | — | ES01788 | — | RI |