Individual
MEGAN KELLY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 POND ST, DOUGLAS, MA 01516-2029
(508) 954-0998
Mailing address
56 POND ST, DOUGLAS, MA 01516-2029
(508) 954-0998
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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