Individual
STEPHANIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
512 W PHILLIP AVE, NORFOLK, NE 68701-5208
(402) 644-2500
Mailing address
1408 VERGES AVE, NORFOLK, NE 68701-3641
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
11/18/2024
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