Elizabeth Anne Sullivan, OT

NPI #1174171763 in South Bend, Indiana

Provider Information

NPI Number: 1174171763
Entity Type: Individual
Name: Elizabeth Anne Sullivan, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Aug 28, 2019
Last Updated: Aug 28, 2019

Practice Location

Address: 53880 CARMICHAEL DR
City: South Bend
State: Indiana
ZIP Code: 46635-1567
Phone: (574) 247-9441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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