Individual
RICHARD SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
22830 & 22832 SUSSEX HIGHWAY, SUITE 13 & 14, SEAFORD, DE 19973-5862
(302) 536-5562
(302) 628-5313
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001608
DE
Other
Enumeration date
02/16/2007
Last updated
08/11/2016
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