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Individual

CATHERINE LOUISE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
(608) 356-4838
Mailing address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
(608) 356-4838

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10338-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36122300
WI
Enumeration date
12/15/2006
Last updated
07/08/2007
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