Individual
MRS. PATRICIA MARY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
33 ROGER ST, MARSHWOOD CENTER, LEWISTON, ME 04240-3328
(207) 784-0108
(207) 784-0752
Mailing address
33 ROGER ST, MARSHWOOD CENTER, LEWISTON, ME 04240-3328
(207) 784-0108
(207) 784-0752
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA839
ME
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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