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Jennifer Marie Sullivan, OT/L
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dedham, Massachusetts
NPI 1588805881

Jennifer Marie Sullivan is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Redondo Beach, MA. Jennifer Marie Sullivan practices in Dedham, MA and has the professional credentials of OT/L. The NPI Number for Jennifer Marie Sullivan is 1588805881 and holds a License No. 6534 (Massachusetts).

The current practice location address for Jennifer Marie Sullivan is 450 Washington St Ste 201, Dedham, MA and can be reached out via phone at 781-449-1884.

Location: 450 Washington St Ste 201, Dedham, MA, 90278-3213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588805881
Provider Name
Jennifer Marie Sullivan
Credential
OT/L
Provider Entity Type
Individual
Gender
Female
Address
450 Washington St Ste 201, Dedham, MA, 90278-3213
Phone Number
781-449-1884
Fax Number
Provider Enumeration Date
03/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
450 Washington St Ste 201
City
Dedham
State
Massachusetts
Zip
02026-4449
Phone Number
781-449-1884
Fax Number
person
Provider Business Mailing Address Details
Address
450 Washington St Ste 201
City
Dedham
State
Massachusetts
Zip
02026-4449
Phone Number
781-449-1884
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
6534 (Massachusetts)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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