Individual
JANET DIANE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3405 EL SALIDO PKWY, CEDAR PARK, TX 78613-5640
(512) 402-5040
Mailing address
2509 CLAUDIA DR, LEANDER, TX 78641-3076
(505) 377-6339
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
205168
TX
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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