Individual
CORIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
301 RIVERVIEW AVE STE 400, NORFOLK, VA 23510-1065
(757) 252-1750
(833) 627-5148
Mailing address
301 RIVERVIEW AVE STE 400, NORFOLK, VA 23510-1065
(757) 252-1750
(833) 627-5148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000752
VA
225X00000X
Occupational Therapist
04650
MD
Other
Enumeration date
12/17/2006
Last updated
10/24/2025
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