Individual
DEBORAH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2135 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454-5881
(757) 430-8828
Mailing address
2252 WILD OAK CRES, VIRGINIA BEACH, VA 23456-4049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002946
VA
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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