Jessica Sullivan, PT

NPI #1245731280 in Beaverton, Michigan

Provider Information

NPI Number: 1245731280
Entity Type: Individual
Name: Jessica Sullivan, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Feb 26, 2018
Last Updated: Feb 26, 2018

Practice Location

Address: 106 TONKIN ST
City: Beaverton
State: Michigan
ZIP Code: 48612-8116
Phone: (989) 435-3315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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