Individual
MRS. MARIANNE KOEHLER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
122 HIGHER LEARNING DR, DURHAM, NC 27713-6044
(919) 448-6018
Mailing address
9312 PALM BAY CIR, RALEIGH, NC 27617-7756
(717) 870-3258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2391
NC
Other
Enumeration date
11/11/2008
Last updated
11/29/2011
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