Mrs. Diane Hocker Sullivan
Occupational Therapist Occupational Therapist - Physical Rehabilitation
1554 Kingstream Cir
Herndon
, Virginia 20170-2752
Mrs. Diane Hocker Sullivan
Occupational Therapist Occupational Therapist - Physical Rehabilitation
1554 Kingstream Cir
Herndon
, Virginia 20170-2752
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Diane Hocker Sullivan
- 1554 Kingstream Cir
- Herndon, VA
- Zip : 20170-2752
- Phone :
Second Address
- Mrs. Diane Hocker Sullivan
- 1554 Kingstream Cir
- Herndon, VA
- Zip : 20170-2752
- Phone : (703) 437-5563
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 0119005327 | VA |
| N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
National Provider Identifier
| NPI | 1205133212 |
|---|---|
| Provider Name | Mrs. Diane Hocker Sullivan |
| First Address | Herndon, VA 20170-2752 |
| Second Address | Herndon, VA 20170-2752 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/02/2011 |
| Last Update Date | 21/06/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.