Individual
KILEY LAVETTA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
496 KINGS HWY N STE 110, CHERRY HILL, NJ 08034-1002
(856) 438-5633
Mailing address
496 KINGS HWY N STE 110, CHERRY HILL, NJ 08034-1002
(856) 438-5633
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01261100
NJ
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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