Individual
CHRISTINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 CHRISTOPHER PL, SAINT LOUIS, MO 63129-4981
(314) 808-4333
Mailing address
132 CHRISTOPHER PL, SAINT LOUIS, MO 63129-4981
(314) 808-4333
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
070024823
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2008009942
MO
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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