Individual
ASHLEY SULLIVAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
N58W24552 RAVEN CT, SUSSEX, WI 53089-5050
(262) 893-9509
Mailing address
N58W24552 RAVEN CT, SUSSEX, WI 53089-5050
(262) 893-9509
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6487-26
WI
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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