Individual
JESSICA NICOLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
210 S COUNTY ROAD 675 W, NORTH VERNON, IN 47265-7536
(812) 525-8725
Mailing address
210 S COUNTY ROAD 675 W, NORTH VERNON, IN 47265-7536
(812) 525-8725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99058403A
IN
Other
Enumeration date
08/09/2013
Last updated
09/09/2019
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