Individual
MISS ANDREA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
785 MAMARONECK AVE, WHITE PLAINS, NY 10605-2523
(914) 597-2175
Mailing address
785 MAMARONECK AVE, WHITE PLAINS, NY 10605-2523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009626-1
NY
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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