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Individual
MICHELLE SULLIVAN
Active
Individual
MICHELLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
218905
ME
225100000X
Physical Therapist
Primary
P19629
NC
225100000X
Physical Therapist
PT2584
ME
Other
Enumeration date
12/18/2007
Last updated
02/04/2026
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