Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLETTE SULLIVAN, CTRS
Active Sole ProprietorNICOLETTE SULLIVAN, CTRS is a Recreation Therapist healthcare provider located in OSWEGO, New York. NPI 1609395714 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · OSWEGO, NY
Registration Details
- NPI Number
- 1609395714
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2017 (8.8843193596869 yrs)
- Last Updated
- Sep 11, 2017
- License
-
69933 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
159 W 1ST STOSWEGO, NY, 131262045Browse NY providers · Browse ZIP 13126
- Phone
- 3153429575
- Primary Specialty
-
Recreation Therapist
225800000X
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.