Individual
MRS. JEANINE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
210 GLEN AVE, PORT CHESTER, NY 10573-2525
(914) 479-8355
Mailing address
210 GLEN AVE, PORT CHESTER, NY 10573-2525
(914) 479-8355
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
027681-1
NY
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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