MS. TINA SULLIVAN, OTR/L
Community Health Worker
Active
Individual
NPI: 1366673592
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | 008117 (NY) |
Frequently Asked Questions
NPI 1366673592 is the National Provider Identifier for MS. TINA SULLIVAN, OTR/L, a Community Health Worker provider located in Port Leyden, NY. This NPI was enumerated on August 5, 2009.
MS. TINA SULLIVAN, OTR/L practices at 3314 PEARL ST., Port Leyden, NY 13433.
Quick Facts
- NPI
- 1366673592
- Type
- Individual
- Enumerated
- Aug 5, 2009
- Last Updated
- Aug 5, 2009
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