Individual
LEAH MARIE FOREMAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 OWENS CT, LAKEWOOD, CO 80215-2732
(614) 381-1382
(720) 316-6020
Mailing address
1945 OWENS CT, LAKEWOOD, CO 80215-2732
(614) 381-1382
(720) 316-6020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0006288
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.0006288
COLORADO OTR LICENSE
CO
Enumeration date
01/16/2020
Last updated
12/15/2020
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