Individual
KATHERINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
240 INDIAN RIVER RD, SUITE A8, ORANGE, CT 06477-3649
(203) 298-9828
(203) 298-9829
Mailing address
47 N MAIN ST, WEST HARTFORD, CT 06107-1926
(860) 409-4595
(860) 409-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10805
CT
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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