Individual
ELAINE N SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
1 RAPP RD, ALBANY, NY 12203-4491
(518) 867-3061
(518) 867-3066
Mailing address
1 RAPP RD, ALBANY, NY 12203-4491
(518) 867-3061
(518) 867-3066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003211
NY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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