Individual
MS. JOAN LUCILLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR, CHT
Contact information
Practice address
503 GRASSLANDS RD, SUITE 105, VALHALLA, NY 10595-1503
(914) 345-9133
(914) 345-9140
Mailing address
74 SMITH AVE, SOUTH NYACK, NY 10960-4734
(845) 358-6044
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
000779-1
NY
Other
Enumeration date
02/16/2006
Last updated
12/16/2010
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