BRIANNE CARMELA RUSS SULLIVAN

AUGUSTA, GA
NPI1386012573
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  006016)
Enumeration Date2015-09-04
Last Update Date2016-02-25
Business Address
-- BRIANNE CARMELA RUSS SULLIVAN OTR/L
3736 EXECUTIVE CENTER DR
AUGUSTA, GA 30907-2360
Phone number: 706-426-4200
Mailing Address
-- BRIANNE CARMELA RUSS SULLIVAN OTR/L
164 EVERGREEN DR
MARTINEZ, GA 30907-1355
Phone number: