Individual
ALISSA SULLIVAN
Active
Individual
ALISSA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209527
VA
261QP2000X
Physical Therapy Clinic/Center
2305209527
VA
Other
Enumeration date
08/24/2015
Last updated
06/11/2021
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