Individual
MELISSA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6929 N ROXBURY MILL RD, SPOTSYLVANIA, VA 22551-2440
(540) 582-7600
Mailing address
8020 RIVER STONE DR, FREDERICKSBURG, VA 22407-8761
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 12273
FL
225XP0200X
Pediatric Occupational Therapist
Primary
0119004770
VA
Other
Enumeration date
08/26/2009
Last updated
04/02/2018
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