Justin Sullivan Pt Pllc

NPI #1457624298 in Monroe, New York

Provider Information

NPI Number: 1457624298
Entity Type: Organization
Organization Name: Justin Sullivan Pt Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Feb 9, 2012
Last Updated: May 18, 2023

Practice Location

Address: 360 STATE ROUTE 17M STE 4
City: Monroe
State: New York
ZIP Code: 10950-3444
Phone: (845) 810-0078

Authorized Official

Name: DR. JUSTIN SULLIVAN, PT
Title: OWNER
Phone: (845) 810-0078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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