Neva Joyce Sullins, OTRL

NPI #1902999469 in Cottontown, Tennessee

Provider Information

NPI Number: 1902999469
Entity Type: Individual
Name: Neva Joyce Sullins, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: OTRL
Enumeration Date: Oct 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 108 BALDRIDGE DRIVE
City: Cottontown
State: Tennessee
ZIP Code: 37048
Phone: (615) 415-4002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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