Individual
MEGAN MARY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
11365 DORSETT RD, MARYLAND HEIGHTS, MO 63043-3411
(314) 872-6440
Mailing address
11365 DORSETT RD, MARYLAND HEIGHTS, MO 63043-3411
(314) 872-6440
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2021007152
MO
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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