Individual
MRS. KERRY O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3305 N BALLARD RD STE C, APPLETON, WI 54911-9001
(920) 735-9234
Mailing address
3305 N BALLARD RD STE C, APPLETON, WI 54911-9001
(920) 735-9234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1944-27
WI
Other
Enumeration date
04/27/2014
Last updated
04/27/2014
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