Individual
MR. PAUL ANDREW SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
349 HAYDENVILLE RD, LEEDS, MA 01053-9767
(413) 586-7700
Mailing address
401 ROCKRIMMON ST, BELCHERTOWN, MA 01007-8808
(413) 575-3890
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4689
MA
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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