Individual provider · Type 1 NPI

Kiley Lavetta Sullivan, MS, OTR/L

Occupational Therapist · Cherry Hill, NJ

NPI number 1902768427 Active

Practice location

496 Kings Hwy N Ste 110
Cherry Hill, NJ 08034-1002

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X46TR01261100 (NJ)

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 1902768427

Kiley Lavetta Sullivan, MS, OTR/L's National Provider Identifier is 1902768427, issued on Dec 2, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Cherry Hill, NJ. The record was last updated on Dec 2, 2025.