Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER SULLIVAN, COTA/L
Active Sole ProprietorJENNIFER SULLIVAN, COTA/L is a Occupational Therapy Assistant healthcare provider located in DEER PARK, Washington. NPI 1770953051 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DEER PARK, WA
Registration Details
- NPI Number
- 1770953051
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2015 (10.877073136093 yrs)
- Last Updated
- Sep 30, 2015
- License
-
OC 60483407 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3815 W MASON RDDEER PARK, WA, 990069511Browse WA providers · Browse ZIP 99006
- Phone
- 5096387899
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in DEER PARK, WA
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE QUACKENBUSH | COTA/L | 1184570574 |
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.