Shanah Sullivan

NPI #1417542374 in Independence, Iowa

Provider Information

NPI Number: 1417542374
Entity Type: Individual
Name: Shanah Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 3, 2021
Last Updated: Mar 3, 2021

Practice Location

Address: 2300 SWAN LAKE BLVD STE 203
City: Independence
State: Iowa
ZIP Code: 50644-9708
Phone: (319) 334-5155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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