Individual
CASEY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 CHERRY ST, MS 21041, PHILADELPHIA, PA 19102-1320
(215) 571-4287
(215) 571-4640
Mailing address
1601 CHERRY ST, MS 21041, PHILADELPHIA, PA 19102-1320
(215) 571-4287
(215) 571-4640
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TPT021633
PA
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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