Individual
KATHERINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 JOHN ST, KALAMAZOO, MI 49001-2870
(269) 575-7010
Mailing address
1405 KELVERE AVE, PORTAGE, MI 49024-4224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010628
MI
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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