Individual
MS. DANIELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
104 W 29TH ST FL 3, NEW YORK, NY 10001-5310
(212) 616-1818
Mailing address
146 DAFFODIL AVE, FRANKLIN SQUARE, NY 11010-3815
(516) 233-8652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017540-1
NY
Other
Enumeration date
09/15/2012
Last updated
09/15/2012
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