Individual
CATHERINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16 ALDRIN RD, PLYMOUTH, MA 02360-4804
(508) 830-0093
(508) 830-1425
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10077
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110012401A
—
MA
Enumeration date
05/16/2006
Last updated
10/10/2018
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