SHANAH SULLIVAN

INDEPENDENCE, IA
NPI1417542374
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IA  001811)
Enumeration Date2021-03-03
Last Update Date2021-03-03
Business Address
SHANAH SULLIVAN
2300 SWAN LAKE BLVD STE 203
INDEPENDENCE, IA 50644-9708
Phone number: 319-334-5155
Mailing Address
SHANAH SULLIVAN
4725 MERLE HAY RD STE 207
DES MOINES, IA 50322-1983
Phone number:
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