Individual
ANGELA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
401 HAZLE TOWNSHIP BLVD # 403, HAZLE TOWNSHIP, PA 18202-9661
(570) 454-8888
Mailing address
163 HONEY POT ST REAR, NANTICOKE, PA 18634-1541
(570) 735-4071
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006729L
PA
Other
Enumeration date
08/16/2009
Last updated
04/30/2021
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