Individual
MRS. NANCY MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3380
(816) 346-1372
Mailing address
2112 NW 13TH ST, BLUE SPRINGS, MO 64015-7723
(816) 228-6833
(816) 228-1407
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
000576
MO
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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