Individual
MR. JAMES F. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
184 E CHESTNUT ST, SUITE 2, ASHEVILLE, NC 28801-2377
(828) 250-0474
(828) 250-0767
Mailing address
56 SHERWOOD RD, ASHEVILLE, NC 28803-2436
(828) 253-6142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13401
BLUE CROSS BLUE SHIELD
NC
Enumeration date
11/08/2006
Last updated
07/08/2007
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