Individual
JOHNANNA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS, SCS
Contact information
Practice address
3150 N MONTANA AVE STE D, HELENA, MT 59602-7804
(719) 659-6088
Mailing address
1130 W WOODMEN RD, COLORADO SPRINGS, CO 80919-2726
(719) 574-5562
(719) 471-0445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8331
CO
225100000X
Physical Therapist
Primary
PTP-PT-LIC-5810
MT
Other
Enumeration date
10/26/2006
Last updated
07/21/2022
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