Individual
ELLEN BRISTOL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 ERDMAN WAY, LIPTON CENTER EARLY INTERVENTION, LEOMINSTER, MA 01453-1804
(978) 840-9354
Mailing address
892 WEST RD, ASHBY, MA 01431-1745
(978) 386-0285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6977
MA
Other
Enumeration date
12/31/2008
Last updated
12/31/2008
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