Individual
DANIEL DAVID SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
70 CENTRAL AVE W, EDGEWATER, MD 21037-2622
(443) 775-5640
Mailing address
PO BOX 15945, BELFAST, ME 04915-4054
(410) 729-4508
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0014238
DE
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/23/2017
Last updated
08/20/2020
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