Individual
KATHERINE JO SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
121 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1230
(636) 730-1601
Mailing address
121 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1230
(636) 730-1601
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
29518
MO
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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