Katherine Beth Sullivan

NPI #1437272028 in Patchogue, New York

Provider Information

NPI Number: 1437272028
Entity Type: Individual
Name: Katherine Beth Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Apr 9, 2007
Last Updated: Apr 13, 2011

Practice Location

Address: 88 PATCHOGUE AVE
City: Patchogue
State: New York
ZIP Code: 11772-1694
Phone: (631) 654-0989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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