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Therese Sullivan, OTR
Specialist in Granger, Indiana
NPI 1518191907

Therese Sullivan is a Specialist based in Granger, IN. Therese Sullivan practices in Granger, IN and has the professional credentials of OTR. The NPI Number for Therese Sullivan is 1518191907 and holds a License No. 31004108A (Indiana).

The current practice location address for Therese Sullivan is 15802 Cedar Ridge Ct, Granger, IN and can be reached out via phone at 574-243-2487.

Location: 15802 Cedar Ridge Ct, Granger, IN, 46530-6516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518191907
Provider Name
Therese Sullivan
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
15802 Cedar Ridge Ct, Granger, IN, 46530-6516
Phone Number
574-243-2487
Fax Number
Provider Enumeration Date
05/13/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15802 Cedar Ridge Ct
City
Granger
State
Indiana
Zip
46530-6516
Phone Number
574-243-2487
Fax Number
person
Provider Business Mailing Address Details
Address
15802 Cedar Ridge Ct
City
Granger
State
Indiana
Zip
46530-6516
Phone Number
574-243-2487
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
31004108A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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