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1992007215
CARRIE MARIE SULLIVAN
BERKELEY, CA
NPI
1992007215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XN1300X Occupational Therapist, Neurorehabilitation
(Licence: CA OT5695)
Enumeration Date
2010-11-18
Last Update Date
2010-11-18
Business Address
-- CARRIE MARIE SULLIVAN MSOTR/L
1356 UNIVERSITY AVE
BERKELEY, CA 94702-1711
Phone number: 510-845-5537
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Mailing Address
-- CARRIE MARIE SULLIVAN MSOTR/L
841 COLLIER DR
SAN LEANDRO, CA 94577-3817
Phone number: 510-483-2832
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