Individual
KATHRYN ANN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6789 ELM VALLEY DR, KALAMAZOO, MI 49009-7476
(269) 544-3286
Mailing address
820 JOHN ST, KALAMAZOO, MI 49001-2870
(269) 544-3286
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002171
MI
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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