Individual
MS. TOSHIA DONYELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
142 STUART NELSON PARK RD, PADUCAH, KY 42001-9678
(270) 442-9502
(270) 442-1954
Mailing address
142 STUART NELSON PARK RD, PADUCAH, KY 42001-9678
(270) 442-9502
(270) 442-1954
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
137496
KY
Other
Enumeration date
04/06/2017
Last updated
08/08/2022
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