Individual
MR. ANDREW SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(323) 857-2000
Mailing address
1251 14TH ST, APT 103, SANTA MONICA, CA 90404-1013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14.010583
CT
225100000X
Physical Therapist
Primary
291552
CA
Other
Enumeration date
07/31/2015
Last updated
02/19/2017
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