Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES FRED SULLIVAN, RKT CEP
Active Sole ProprietorOccupational Therapist · SHREVEPORT, LA
Registration Details
- NPI Number
- 1649384983
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (19.680943593132 yrs)
- Last Updated
- Jul 8, 2007
- License
-
621 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
510 E STONER AVESHREVEPORT, LA, 711014243Browse LA providers · Browse ZIP 71101
- Phone
- 3184246106
- Fax
- 3184295727
- Primary Specialty
-
Occupational Therapist
226300000X
Other Occupational Therapist Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MR. RONALD EUGENE GROSSI | KT/CEP | 1083660484 |
| JOSHUA O YARBROUGH | RKT | 1336188051 |
| MR. RUSSELL BARMER | RKT | 1528400884 |
| MR. JEFFREY T FLOYD | — | 1710314356 |
| MR. CHARLES DAI-TRIEU CAO | RKT | 1144646175 |
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.