Individual
ELIZABETH ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
11012 E 13 MILE RD STE 200, WARREN, MI 48093-2547
(586) 573-8890
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
5201010378
MI
Other
Enumeration date
10/26/2018
Last updated
10/15/2024
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