Most Relevant Information
Provider Data
| NPI Number: | 1003447624 |
| Provider Name: | LEANNE ELIZABETH SULLIVAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 48.003702 |
Most Important Dates
| Enumeration Date: | 02/02/2020 |
| Last Updated: | 02/02/2020 |
Provider Practice Location
115 W SILVER ST
WESTFIELD
MA
010853678
Practice Location Phone/Fax
| Phone: | 4135710151 |
| Fax: |
Provider Mailing Location
1 SILKEY HEIGHTS DR
NORTH GRANBY
CT
060601423
Provider Mailing Phone/Fax
| Phone: | 4133201430 |
| Fax: |