Individual
DENISE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 BEAVERSON BLVD STE 11, BRICK, NJ 08723-7869
(866) 557-8669
Mailing address
38 PARKER AVE, MANASQUAN, NJ 08736-3006
(908) 463-7682
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00247000
NJ
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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