Individual
CHRISTOPHER WILLIAM SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1290 FAIRCHILD AVE, KENT, OH 44240-1814
(330) 968-4943
(330) 968-4944
Mailing address
1290 FAIRCHILD AVE, KENT, OH 44240-1814
(330) 968-4943
(330) 968-4944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2378
OH
Other
Enumeration date
11/10/2006
Last updated
07/29/2009
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