Individual
MS. SUSAN LEE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1100 TUNNEL RD, VA ASHEVILLE MEDICAL CENTER, ASHEVILLE, NC 28805-2043
(828) 299-2552
Mailing address
76 HUTCHINS ST, GREENVILLE, SC 29605-4545
(864) 295-4024
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2489
NC
Other
Enumeration date
04/26/2006
Last updated
07/16/2007
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