Individual provider · Type 1 NPI

Jennie Wayland Sullivan, OTR/L

Occupational Therapist · Knoxville, TN

NPI number 1053733923 Active

Practice location

912 S Gay St
Knoxville, TN 37902-1814

Fax (865) 594-1531

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2581 (TN)

Occupational Therapist: 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…

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About NPI 1053733923

Jennie Wayland Sullivan, OTR/L's National Provider Identifier is 1053733923, issued on Jan 13, 2014. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Knoxville, TN. The record was last updated on Jan 13, 2014.