Individual
MEGAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
525 POLK ST, HUGOTON, KS 67951
(620) 544-7823
Mailing address
525 S POLK ST, HUGOTON, KS 67951-2137
(620) 544-7823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3623
KS
Other
Enumeration date
04/03/2007
Last updated
02/28/2014
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