Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELINE DENISE SULLIVAN, PTA ATRIC
ActiveMS. JACQUELINE DENISE SULLIVAN, PTA ATRIC is a Occupational Therapist healthcare provider located in ELLISVILLE, Missouri. NPI 1235230400 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · ELLISVILLE, MO
Registration Details
- NPI Number
- 1235230400
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2006 (19.839171070491 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2000161113 (MO)
Practice Information
- Address
-
15884 MANCHESTER RDELLISVILLE, MO, 63011Browse MO providers · Browse ZIP 63011
- Phone
- 6363915400
- Fax
- 6363949674
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in ELLISVILLE, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. APRIL JEAN TOORNSTRA | PTA | 1619176450 |
| TONYA WILSON | PTA | 1790154581 |
| SUSAN DIANE TRIMBLE | LPTA | 1194490938 |
| TERRI L KNUTSON | PTA | 1609542943 |
| KELLY ANN PARNAS | — | 1932854767 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.