Individual
BRIDGET LYNNETTE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
9045 E 59TH ST, INDIANAPOLIS, IN 46216-1030
(317) 988-0815
Mailing address
9045 E 59TH ST, INDIANAPOLIS, IN 46216-1030
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
81830
IN
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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