Individual
SHAWNA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
799 W BOYLSTON ST, WORCESTER, MA 01606-3071
(774) 314-5393
Mailing address
799 W BOYLSTON ST, WORCESTER, MA 01606-3071
(774) 314-5393
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10176
MA
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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