Individual
EMILY WILSON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2006 PELHAM RD, GREENVILLE, SC 29615-4005
(866) 872-4177
Mailing address
6 KENAI CT, GREENVILLE, SC 29605-6404
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6433
SC
Other
Enumeration date
06/03/2022
Last updated
10/31/2022
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