Individual
ANNA CIESLEWICZ SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
4201 LAKE BOONE TRL STE 4, RALEIGH, NC 27607-7511
(919) 781-4434
(919) 781-5851
Mailing address
4201 LAKE BOONE TRL STE 4, RALEIGH, NC 27607-7511
(919) 781-4434
(919) 781-5851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8937
NC
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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