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1710654967
KAITLIN ELIZABETH SULLIVAN
BELLEVUE, WA
NPI
1710654967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: WA 61130252)
Enumeration Date
2021-08-25
Last Update Date
2021-08-25
Business Address
KAITLIN ELIZABETH SULLIVAN OTR/L
5150 VILLAGE PARK DR SE
BELLEVUE, WA 98006-6652
Phone number: 425-657-0620
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Mailing Address
KAITLIN ELIZABETH SULLIVAN OTR/L
336 AMITYVILLE ST
ISLIP TERRACE, NY 11752-1419
Phone number: 631-487-8121
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