Individual
JEREMY JAMES SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
801 KINGS HWY N, FOX REHABILITATION SERVICES, CHERRY HILL, NJ 08034-1513
(877) 407-3422
(877) 407-4329
Mailing address
1718 S BROADWAY, CAMDEN, NJ 08104-1306
(877) 407-3422
(877) 407-4329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01081700
NJ
Other
Enumeration date
03/03/2007
Last updated
07/08/2007
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