IndividualActive
Alicia Sullivan
NPI 1497914808 · Occupational Therapy Assistant · Laurens, SC
Provider details
- NPI number
- 1497914808
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2769 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
113 Hunters Ct
Laurens, SC 29360-2372
Phone: (864) 715-9008
Approximate (ZIP-level) locationGet directions
Mailing address
113 Hunters Ct
Laurens, SC 29360-2372
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2020-12-16
- Certified
- 2020-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.