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Individual

KATELYN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
594 ALBANY AVE, BROOKLYN, NY 11203-1706
(718) 245-7000
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
05011954A.
IN
225100000X
Physical Therapist
15410
TN

Other

Enumeration date
09/25/2018
Last updated
01/12/2024
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