Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER SULLIVAN, PTA
Active Sole ProprietorJENNIFER SULLIVAN, PTA is a Occupational Therapist healthcare provider located in LEVANT, Maine. NPI 1942750484 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LEVANT, ME
Registration Details
- NPI Number
- 1942750484
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2016 (9.8094201202598 yrs)
- Last Updated
- Oct 7, 2016
- Licenses
-
PA4718 (ME)MT3547 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
518 PHILLIPS RD # ALEVANT, ME, 044564446Browse ME providers · Browse ZIP 04456
- Phone
- 2072406170
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Massage Therapist
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.