DR. Michelle Yvette Sullivan, DPT

NPI #1003040858 in Pasadena, California

Provider Information

NPI Number: 1003040858
Entity Type: Individual
Name: DR. Michelle Yvette Sullivan, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: DPT
Enumeration Date: May 8, 2009
Last Updated: May 8, 2009

Practice Location

Address: 288 ATCHISON ST
City: Pasadena
State: California
ZIP Code: 91104-1002
Phone: (626) 798-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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