Individual
JULIANNE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 RED CEDAR ST STE 9, BLUFFTON, SC 29910-8967
(843) 815-6999
Mailing address
254 RED CEDAR ST STE 9, BLUFFTON, SC 29910-8967
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3563
SC
Other
Enumeration date
05/27/2016
Last updated
11/25/2020
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