Individual
JILL MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
301 S LAFAYETTE ST, SOUTH LYON, MI 48178-1407
(248) 486-1110
(248) 486-3318
Mailing address
59075 TRAVIS RD, NEW HUDSON, MI 48165-9578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501003385
MI
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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