Individual
AMBER LYNN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3750 SENTARA WAY, VIRGINIA BEACH, VA 23452-4200
(757) 901-1580
Mailing address
3750 SENTARA WAY, VIRGINIA BEACH, VA 23452-4200
(757) 901-1580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001208
VA
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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