Individual
KRYSTA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
36397 N GANTZEL RD STE 102, SAN TAN VALLEY, AZ 85140-7336
(480) 567-2987
Mailing address
2045 E BOSTON ST APT 4070, GILBERT, AZ 85295-1857
(714) 851-3139
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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