Individual
MEGAN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3892 BAKERTON RD., HARPERS FERRY, WV 25425
(304) 839-6917
Mailing address
3892 BAKERTON RD., HARPERS FERRY, WV 25425
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604332
VA
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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