Individual
KRISTEN GALLUP SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 N MARIO CAPECCHI DR, INPATIENT REHAB, SALT LAKE CITY, UT 84113-1103
(801) 662-4980
Mailing address
100 N MARIO CAPECCHI DR, INPATIENT REHAB, SALT LAKE CITY, UT 84113-1103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/10/2009
Last updated
03/13/2017
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