Individual
DR. KATHERINE JOSEPHINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
194 LOCH LOMOND RD, RANCHO MIRAGE, CA 92270
(626) 674-0361
Mailing address
194 LOCH LOMOND RD, RANCHO MIRAGE, CA 92270-5600
(626) 674-0361
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
14280
CA
2251N0400X
Neurology Physical Therapist
Primary
14280
CA
Other
Enumeration date
08/19/2014
Last updated
04/22/2019
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