Individual
KELLY O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6530 33RD AVE NW, OLYMPIA, WA 98502-8846
(360) 866-5916
Mailing address
4812 FIELD LN NW, OLYMPIA, WA 98502-8835
(360) 888-7977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002863
WA
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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