Individual
MICHELE K. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7540 N 19TH AVE, PHOENIX, AZ 85021-7967
(888) 873-4221
Mailing address
542 FAIRMOUNT AVE, CHATHAM, NJ 07928-1329
(973) 635-5617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00282400
NJ
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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