Individual
MRS. CLARE ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, NCS
Contact information
Practice address
400 CRAVEN RD, SAN MARCOS, CA 92078-4201
(760) 510-5656
Mailing address
45262 WILLOWICK ST, TEMECULA, CA 92592-1368
(951) 326-7051
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
23052
CA
Other
Enumeration date
06/14/2007
Last updated
12/02/2021
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