Individual
LINDSAY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 E BRICKYARD RD APT 1803, SALT LAKE CITY, UT 84106-2531
(813) 956-2630
Mailing address
1121 E BRICKYARD RD APT 1803, SALT LAKE CITY, UT 84106-2531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
131276
AK
225100000X
Physical Therapist
293812
CA
225100000X
Physical Therapist
PT-5021
ID
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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