Individual
ANDREW JOSEPH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
14235 PARK CENTER DR, LAUREL, MD 20707-5261
(301) 498-8100
(301) 498-0009
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(130) 149-8810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09501
MD
Other
Enumeration date
04/26/2023
Last updated
12/20/2024
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