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Kelly O'Sullivan, OT

Occupational Therapist in Olympia, WA. Individual provider (NPI-1).

NPI number1144615519
StatusActive
Last updated in NPPESApr 2, 2015

Details

NPI
1144615519
Entity type
Individual (NPI-1)
Name
Kelly O'Sullivan
Credential
OT
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2015
Last updated
Apr 2, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT00002863WAYes

Practice location

6530 33rd Ave Nw
Olympia, WA 98502-8846

Phone 360-866-5916

Mailing address

4812 Field Ln Nw
Olympia, WA 98502-8835

Phone 360-888-7977

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