Individual
LISA MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 BRIDGETOWN RD, CINCINNATI, OH 45211-4428
(513) 574-4550
Mailing address
113 MITCHELL BLVD, HARRISON, OH 45030-2197
(513) 205-9732
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007496
OH
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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