Individual
ELIZABETH FORTIER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4301 S FLAMINGO RD STE 101, DAVIE, FL 33330-1902
(954) 312-3449
Mailing address
6511 NOVA DR # 241, DAVIE, FL 33317-7401
(954) 649-8373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT31793
FL
Other
Enumeration date
09/27/2017
Last updated
12/19/2017
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