Individual
JILL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
616 N CUSHMAN AVE, TACOMA, WA 98403-1130
(253) 722-8025
Mailing address
616 N CUSHMAN AVE, TACOMA, WA 98403-1130
(253) 722-8025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60662487
WA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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