Individual provider · Type 1 NPI

Brandi Sullivan, COTA

Occupational Therapist · Fort Wayne, IN

NPI number 1891200192 Active

Practice location

2626 Saint Joe Center Rd
Fort Wayne, IN 46825-5042

Call (260) 497-0328 Map

Mailing address

9426 Lima Rd
Fort Wayne, IN 46818-8680

Other practice locations

  • 9426 Lima Rd, Fort Wayne, IN 46818 · (260) 497-0328

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X32003246A (IN)

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 1891200192

Brandi Sullivan, COTA's National Provider Identifier is 1891200192, issued on Dec 8, 2017. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 12, 2020.