Individual
JAMIE KAY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-4700
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WI
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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