Individual
MRS. KRISTEN KELLY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
596 SHELDON RD, SAINT ALBANS, VT 05478-8011
(802) 524-6534
Mailing address
596 SHELDON ROAD, ST. ALBANS, VT 05478
(802) 524-6534
(802) 524-2429
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
040-0003571
VT
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
03/11/2011
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