Individual
DANIEL J. SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, CFP
Contact information
Practice address
34 HENNESSEY AVENUE, BRUNSWICK, ME 04011-0000
(207) 725-7578
(207) 725-7549
Mailing address
34 HENNESSEY AVENUE, BRUNSWICK, ME 04011
(207) 725-7578
(207) 725-7549
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225100000X
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039097
ANTHEM/BCBS
ME
05
—
281020099
—
ME
Enumeration date
02/15/2007
Last updated
07/30/2013
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