Individual
ANNPAT SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
53 GRAVEL ST, WILKES BARRE, PA 18705-3738
(570) 371-5600
Mailing address
70 EAST MAPLE STREET, P.O. BOX 51, TRESCKOW, PA 18254-0051
(570) 454-4958
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT000606E
PA
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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