Individual
SHARYL SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
508 W TRILBY RD, FORT COLLINS, CO 80525-4054
(970) 226-4909
Mailing address
881 WAGON TRAIN DR, MILLIKEN, CO 80543-3011
(720) 495-9618
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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