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Elizabeth Anne Sullivan, OT
Occupational Therapist in South Bend, Indiana
NPI 1174171763

Elizabeth Anne Sullivan is a Occupational Therapist based in South Bend, IN. Elizabeth Anne Sullivan practices in South Bend, IN and has the professional credentials of OT. The NPI Number for Elizabeth Anne Sullivan is 1174171763 and holds a License No. 31006976A (Indiana).

The current practice location address for Elizabeth Anne Sullivan is 53880 Carmichael Dr, South Bend, IN and can be reached out via phone at 574-247-9441 and via fax at 574-247-9442.

Location: 53880 Carmichael Dr, South Bend, IN, 46635-1567
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174171763
Provider Name
Elizabeth Anne Sullivan
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
53880 Carmichael Dr, South Bend, IN, 46635-1567
Phone Number
574-247-9441
Fax Number
574-247-9442
Provider Enumeration Date
08/28/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31006976A 01 IN INDIANA PROFESSIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
53880 Carmichael Dr
City
South Bend
State
Indiana
Zip
46635-1567
Phone Number
574-247-9441
Fax Number
574-247-9442
person
Provider Business Mailing Address Details
Address
53880 Carmichael Dr
City
South Bend
State
Indiana
Zip
46635-1567
Phone Number
574-247-9441
Fax Number
574-247-9442
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
-
Taxonomy
225X00000X
License No.
31006976A (Indiana)
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
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