Individual provider · Type 1 NPI
Diane Jarrels Sullivan, PTA
Other Technician · Kilmarnock,, VA
NPI number
1225224983
Active
Practice location
500 Irvington Road
Kilmarnock,, VA 22482
Fax (804) 435-3682
Mailing address
PO Box 128
Kilmarnock, VA 22482-0128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | 2306000138 (VA) |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
4 other providers at this address
About NPI 1225224983
Diane Jarrels Sullivan, PTA's National Provider Identifier is 1225224983, issued on Sep 17, 2007. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Kilmarnock,, VA. The record was last updated on Nov 19, 2007.