Individual
MRS. DAWN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
8 QUAKER LN, ENFIELD, CT 06082-6110
(860) 463-6257
Mailing address
8 QUAKER LN, ENFIELD, CT 06082-6110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000289
CT
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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