Individual
MRS. FRANCES SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2115 J ST STE 210, SACRAMENTO, CA 95816-4734
(169) 444-0033
Mailing address
2115 J ST STE 210, SACRAMENTO, CA 95816-4734
(169) 444-0033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
23988
CA
225X00000X
Occupational Therapist
Primary
OT.009316
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8959042
—
OH
Enumeration date
05/24/2016
Last updated
03/24/2023
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