Individual
SAMANTHA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 RIVER RIDGE DR FL 2, NORWOOD, MA 02062-5027
(781) 335-6663
Mailing address
64 SCHOOSETT ST, PEMBROKE, MA 02359-1882
(781) 335-6663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14851
MA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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