Individual
KELSEY OSULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00786400
NJ
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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