Individual
ELIZABETH W SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
229 SALUDA SPRINGS RD, LEXINGTON, SC 29072
(803) 359-0505
(803) 359-2206
Mailing address
141 ATRIUM WAY, COLUMBIA, SC 29223-6301
(803) 788-8484
(803) 788-8499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8251
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH3382
—
SC
Enumeration date
11/17/2006
Last updated
08/02/2019
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