Individual
TERRANCE LEE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
313 GLENWOOD WAY, BUTLER, PA 16001-1648
(724) 282-6549
(724) 282-2466
Mailing address
313 GLENWOOD WAY, BUTLER, PA 16001-1648
(724) 282-6549
(724) 282-2466
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
PT001575E
PA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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