Individual
MRS. MEREDITH STEWART SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
534 KENSLEY AVE, FAIRHOPE, AL 36532-7146
(850) 509-3923
Mailing address
534 KENSLEY AVE, FAIRHOPE, AL 36532-7146
(850) 509-3923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18675
FL
Other
Enumeration date
08/16/2017
Last updated
09/11/2019
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