Individual
JULIE CHRISTINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
142 STEWART POINT RD, HUBERT, NC 28539
(315) 744-6737
Mailing address
506 WALKENS WOODS LN, JACKSONVILLE, NC 28546-8029
(315) 744-6737
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A5568
NC
225100000X
Physical Therapist
A5568
NC
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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