Individual
RAYMOND SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
84 WEST ST, PEPPERELL, MA 01463-1230
(978) 433-6784
Mailing address
84 WEST ST, PEPPERELL, MA 01463-1230
(978) 433-6784
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9232
MA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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