Individual
TIMOTHY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
211 COOL SPRINGS BLVD, FRANKLIN, TN 37067-7242
(615) 778-6800
Mailing address
118 WILSHIRE DR, FRANKLIN, TN 37064-0766
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3673
TN
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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