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Individual

MS. LORI SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
6804 S KINGS RANCH RD, STE 103, GOLD CANYON, AZ 85118-2960
(480) 983-8600
Mailing address
6804 S KINGS RANCH RD, STE 103, GOLD CANYON, AZ 85118-2960
(480) 983-8600

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501010318
MI
2251X0800X
Orthopedic Physical Therapist
Primary
LPT-30750
AZ

Other

Enumeration date
06/25/2009
Last updated
09/12/2019
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