Katie Leigh Sullivan, PT

NPI #1073534863 in Green Bay, Wisconsin

Provider Information

NPI Number: 1073534863
Entity Type: Individual
Name: Katie Leigh Sullivan, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 21, 2006
Last Updated: Feb 7, 2023

Practice Location

Address: 1630 COMMANCHE AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54313-6089
Phone: (920) 433-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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