NPI 1700300613
Stephanie Sullivan, COTA
Practice location
- Address
- 512 W Phillip Ave, Norfolk, NE 68701-5208
- Phone
- (402) 644-2500
- Mailing address
- 1408 Verges Ave, Norfolk, NE 68701-3641
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1700300613
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Aug 2017
- Record last updated
- 18 Nov 2024
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.