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Individual

JENNIFER SULLIVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
45 S CRESCENT CIRCUIT, BRIGHTON, MA 02135-3045
(617) 697-8120
Mailing address
45 S CRESCENT CIRCUIT, BRIGHTON, MA 02135-3045
(617) 697-8120

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7941
MA

Other

Enumeration date
02/01/2010
Last updated
02/01/2010
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