Individual
CARLY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 HILLCREST DR, SANFORD, NC 27330-4020
(919) 777-0240
(919) 777-0499
Mailing address
113 HILLCREST DR, SANFORD, NC 27330-4020
(919) 777-0240
(919) 777-0499
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17929
NC
225X00000X
Occupational Therapist
OT01957
RI
Other
Enumeration date
04/20/2021
Last updated
09/25/2025
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