Individual
HEATHER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 N MUSKOGEE PL, CLAREMORE, OK 74017-3058
(918) 855-8603
Mailing address
15459 WILL LN, SKIATOOK, OK 74070-4941
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1534
OK
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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