NPI 1588805881

Jennifer Marie Sullivan, OTL

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Dedham, MA

Practice location

Address: 450 Washington St STE 201, Dedham, MA 02026-4449
Phone: (781) 449-1884
Mailing address: 2401 Vanderbilt Ln Unit C, Redondo Beach, CA 90278-3213

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 6534 (MA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Massachusetts →

Registry record

NPI: 1588805881
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2009
Record last updated: 16 Mar 2009

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.