Individual
DANA SULLIVAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
235 E. 9TH AVE, ANCHORAGE, AK 99501
(907) 334-9001
(907) 868-8657
Mailing address
P.O. BOX 111843, ANCHORAGE, AK 99511
(907) 230-1952
(907) 868-8657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1278
AK
225XP0200X
Pediatric Occupational Therapist
Primary
1278
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT32411
—
AK
Enumeration date
05/23/2007
Last updated
04/26/2019
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