Individual
TAMMIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
246 PLEASANT ST, SUITE 200, CONCORD, NH 03301-2548
(603) 224-4540
(603) 228-7384
Mailing address
1210 BLACK BROOK RD, DUNBARTON, NH 03046-4424
(603) 774-3818
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0676
NH
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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