Individual
AMY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6110 COUNTY ROUTE 32, NORWICH, NY 13815
(607) 334-5010
Mailing address
6110 COUNTY ROUTE 32, NORWICH, NY 13815
(607) 334-5010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010442-1
NY
Other
Enumeration date
03/20/2007
Last updated
09/17/2012
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