Individual
BAILEY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N BEACON ST, ALLSTON, MA 02134-1928
(617) 787-2300
Mailing address
100 N BEACON ST, ALLSTON, MA 02134-1928
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3632
MA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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