Individual
BETH O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
158 STATE ST, MERIDEN, CT 06450-3202
(203) 237-7835
(203) 237-9187
Mailing address
158 STATE ST, MERIDEN, CT 06450-3202
(203) 237-7835
(203) 237-9187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000546
CT
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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