Individual
NICOLE ANNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7000 GREAT MEADOW RD, DEDHAM, MA 02026-4090
(781) 234-9500
Mailing address
44 GREENDALE AVE # 2, WORCESTER, MA 01606-2228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12631
MA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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