Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER MARIE SULLIVAN, OT/L
Active Sole ProprietorJENNIFER MARIE SULLIVAN, OT/L is a Emotionally Disturbed Children Residential Treatment healthcare provider located in DEDHAM, Massachusetts. NPI 1588805881 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · DEDHAM, MA
Registration Details
- NPI Number
- 1588805881
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 16, 2009 (17.386496010981 yrs)
- Last Updated
- Mar 16, 2009
- License
-
6534 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
450 WASHINGTON ST STE 201DEDHAM, MA, 020264449Browse MA providers · Browse ZIP 02026
- Phone
- 7814491884
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.