Individual
ELIZABETH MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01159
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058
NHPRC
RI
01
—
2092
EI NHPRC
RI
01
—
292177
EI BCROSS
RI
01
—
412296
EI BCHIP
RI
01
—
6400144
UNITED
RI
05
—
9009994
—
RI
01
—
99947
BCROSS
RI
05
—
ES01788
—
RI
Enumeration date
08/27/2007
Last updated
01/15/2008
Update your record
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