Individual
MEGHAN NICOLE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 CAMINO GARDENS BLVD STE 104, BOCA RATON, FL 33432-5823
(561) 494-4499
Mailing address
3161 SW 50TH TER, DAVIE, FL 33314-2021
(954) 394-3215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30395
FL
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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