Individual
MRS. CATHY S SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
620 N JEFFERSON ST, SAINT JAMES, MO 65559-1926
(573) 265-3271
(573) 265-0243
Mailing address
PO BOX 383, WARSAW, MO 65355
(800) 385-3978
(660) 438-6943
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005095
MO
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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