Individual
ERIN C SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OT
Contact information
Practice address
2813 S 88TH ST, OMAHA, NE 68124-3056
(402) 391-2001
(402) 391-2004
Mailing address
5809 PINE ST, OMAHA, NE 68106-2212
(402) 391-2001
(402) 391-2004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1568
NE
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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