Individual
LINDSEY KAYLA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29 FAWN DRIVE, READING, PA 19607
(845) 699-8420
Mailing address
29 FAWN DRIVE, READING, PA 19607
(845) 699-8420
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC013105
PA
Other
Enumeration date
09/16/2013
Last updated
02/23/2016
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