Individual
DEBRA K SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
175 COMMONS LOOP, STE 100, KALISPELL, MT 59901-1904
(406) 752-7250
(406) 752-6250
Mailing address
178 BAD ROCK DR, COLUMBIA FALLS, MT 59912-9210
(406) 892-0457
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
640
MT
Other
Enumeration date
04/01/2009
Last updated
09/09/2016
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