MR. Todd Michael Sullivan, MPT

NPI #1003982711 in Fort Wayne, Indiana

Provider Information

NPI Number: 1003982711
Entity Type: Individual
Name: MR. Todd Michael Sullivan, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Nov 27, 2006
Last Updated: Feb 17, 2025

Practice Location

Address: 3978 NEW VISION DR
City: Fort Wayne
State: Indiana
ZIP Code: 46845-1712
Phone: (260) 373-9318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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