Individual
ALICIA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 HUNTERS CT, LAURENS, SC 29360-2372
(864) 715-9008
Mailing address
113 HUNTERS CT, LAURENS, SC 29360-2372
(864) 715-9008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2769
SC
Other
Enumeration date
06/02/2008
Last updated
12/16/2020
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