Individual
DR. JAMES ALLEN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTD, OTRL
Contact information
Practice address
4405 NORMAL BLVD, LINCOLN, NE 68506-5551
(402) 488-2355
Mailing address
5324 W CLEVELAND AVE, LINCOLN, NE 68524-2143
(402) 540-1423
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1166
NE
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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