Jennifer Sullivan, COTA/L
NPI #1770953051 in Deer Park, Washington
Provider Information
- NPI Number
- 1770953051
- Entity Type
- Individual
- Name
- Jennifer Sullivan, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Sep 30, 2015
- Last Updated
- Sep 30, 2015
Practice Location
- Address
- 3815 W MASON RD
- City
- Deer Park
- State
- Washington
- ZIP Code
- 99006-9511
- Phone
- (509) 638-7899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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