# MADELINE KLAIRE SULLIVAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831882976
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 2251C2600X | Cardiopulmonary Physical Therapist | — | NULL | — |
| 2251E1200X | Ergonomics Physical Therapist | — | NULL | — |
| 2251E1300X | Clinical Electrophysiology Physical Therapist | — | NULL | — |
| 2251G0304X | Geriatric Physical Therapist | PT7542 | MS | — |
| 2251H1200X | Hand Physical Therapist | — | NULL | — |
| 2251H1300X | Human Factors Physical Therapist | — | NULL | — |
| 2251N0400X | Neurology Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |

## Other

- **Enumeration date:** 06/02/2023
- **Last updated:** 06/02/2023