Individual
ASHLEY ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3144 N VINE ST, DENVER, CO 80205-4135
(617) 543-2334
Mailing address
3144 N VINE ST, DENVER, CO 80205-4135
(617) 543-2334
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
481262
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
481262
—
CO
Enumeration date
10/03/2022
Last updated
10/03/2022
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