Individual
MS. MARY KATE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
401 W MAIN ST, MARIANNA, AR 72360-2102
(870) 295-5280
(870) 551-3724
Mailing address
PO BOX 2192, FORREST CITY, AR 72336-2192
(870) 208-8362
(870) 551-3724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A616
AR
Other
Enumeration date
08/03/2010
Last updated
01/21/2026
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