Individual
CONSTANCE H SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12122A HERITAGE PARK CIR, SILVER SPRING, MD 20906-4554
(301) 942-6006
Mailing address
11609 BUNNELL CT S, POTOMAC, MD 20854-3603
(301) 983-4727
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
18336
MD
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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