Kelly Anne Sullivan

NPI #1063173961 in Skowhegan, Maine

Provider Information

NPI Number: 1063173961
Entity Type: Individual
Name: Kelly Anne Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 4, 2022
Last Updated: Jul 3, 2023

Practice Location

Address: 57 FAIRVIEW AVE
City: Skowhegan
State: Maine
ZIP Code: 04976-1414
Phone: (207) 474-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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