Individual
RICHARD MICHAEL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 861-6255
(425) 869-5285
Mailing address
4455 148TH AVE NE, BELLEVUE, WA 98007-3120
(425) 861-6255
(425) 869-5285
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160068768
WA
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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