BRANDI SULLIVAN

FORT WAYNE, IN
NPI1891200192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  32003246A)
Enumeration Date2017-12-08
Last Update Date2020-11-12
Business Address
BRANDI SULLIVAN COTA
2626 SAINT JOE CENTER RD
FORT WAYNE, IN 46825-5042
Phone number: 260-497-0328
Mailing Address
BRANDI SULLIVAN COTA
9426 LIMA RD
FORT WAYNE, IN 46818-8680
Phone number: