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Organization
SULLIVAN PHYSICAL THERAPY LLC
Active
Organization
SULLIVAN PHYSICAL THERAPY LLC
Active
Other names
Kimberlee D Sullivan DPT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLEE D SULLIVAN DPT (OWNER & PHYSICAL THERAPIST)
(512) 335-9300
Entity
Organization
Contact information
Practice address
12411 HYMEADOW DR STE 3B, AUSTIN, TX 78750-1829
(512) 335-9300
(512) 335-9301
Mailing address
1321 UPLAND DR., PMB 19899, HOUSTON, TX 77043
(512) 335-9300
(512) 335-9301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1151958
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
659678
BCBS OF TX PROVIDER NUMBE
TX
Enumeration date
04/20/2007
Last updated
04/11/2024
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