Individual
SHANNON ELYSE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14715 NE BEL RED RD, BELLEVUE, WA 98007-3940
(425) 502-9440
Mailing address
2233 NE 46TH ST APT 202, SEATTLE, WA 98105-5736
(785) 418-9810
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
60896414
WA
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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