Individual
MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS, MBA
Contact information
Practice address
55 MOHAWK ST, COHOES, NY 12047-2629
(518) 235-1100
Mailing address
55 MOHAWK ST, COHOES, NY 12047-2629
(518) 235-1100
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
NY
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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