Individual
MEGAN ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1407 E CRYSTAL DR STE E, LA GRANGE, KY 40031-1456
(502) 222-0280
(502) 222-0290
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(502) 882-9379
(502) 805-0526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008324
KY
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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