CARRIE MARIE SULLIVAN MSOTR/L NPI 1992007215

NPI Information

NPI: 1992007215
Provider Name: CARRIE MARIE SULLIVAN, MSOTR/L
Classification: Occupational Therapist - 225XN1300X
Entity Type: Individual

Specialization: Neurorehabilitation

Address:
1356 UNIVERSITY AVE
BERKELEY, CA
ZIP 94702
Phone: (510) 845-5537
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Carrie Marie Sullivan, MSOTR/L is a neurorehabilitation occupational therapist in Berkeley, CA. Carrie Marie Sullivan, MSOTR/L NPI is 1992007215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1356 UNIVERSITY AVE
BERKELEY, CA
ZIP 94702-711
Phone: (510) 845-5537

The enumeration date for this NPI number is 11/18/2010 and was last updated on 11/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XN1300X	Occupational Therapist	Neurorehabilitation	OT5695	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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