Individual
AMY ELIZABETH SULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 W CAMBRIDGE ST, SPRINGFIELD, MO 65807-3726
(417) 886-1188
(417) 886-3619
Mailing address
1450 W CAMBRIDGE ST, SPRINGFIELD, MO 65807-3726
(417) 886-1188
(417) 886-3619
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
2017007702
MO
224ZL0004X
Low Vision Occupational Therapy Assistant
2017007702
MO
225X00000X
Occupational Therapist
Primary
2017007702
MO
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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