Individual
GRACE JARRETT SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
312 E 85TH ST APT BA, NEW YORK, NY 10028-4569
(914) 907-1678
Mailing address
215 E 80TH ST APT 7F, NEW YORK, NY 10075-0544
(914) 907-1678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028986
NY
Other
Enumeration date
03/25/2024
Last updated
11/07/2024
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