NPI 1023797446
Rebecca Sullivan, COTAL
Practice location
- Address
- 1563 Sam Rittenberg Blvd, Charleston, SC 29407-4248
- Phone
- (843) 337-8811
- Mailing address
- 1193 Midvale Ave, Charleston, SC 29412-5211
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1023797446
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jul 2023
- Record last updated
- 13 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.