Jessica Nicole Sullivan, OTR

NPI #1699108944 in North Vernon, Indiana

Provider Information

NPI Number: 1699108944
Entity Type: Individual
Name: Jessica Nicole Sullivan, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Aug 9, 2013
Last Updated: Sep 9, 2019

Practice Location

Address: 210 S COUNTY ROAD 675 W
City: North Vernon
State: Indiana
ZIP Code: 47265-7536
Phone: (812) 525-8725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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