Individual
HEATHER JASMINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 OTTAWA CT, JUSTICE, IL 60458-1030
(773) 837-0278
Mailing address
23 OTTAWA CT, JUSTICE, IL 60458-1030
(773) 837-0278
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.10472
IL
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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