Individual
DIANNE M. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD NE, SUITE 950, ATLANTA, GA 30342-5000
(404) 531-8590
(404) 531-8581
Mailing address
5671 PEACHTREE DUNWOODY RD NE, SUITE 950, ATLANTA, GA 30342-5000
(404) 531-8590
(404) 531-8581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002041
GA
225XH1200X
Hand Occupational Therapist
9711000437
GA
Other
Enumeration date
06/23/2006
Last updated
04/03/2008
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