DR. Justin Sullivan, DPT

NPI #1467632919 in Monroe, New York

Provider Information

NPI Number: 1467632919
Entity Type: Individual
Name: DR. Justin Sullivan, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 13, 2007
Last Updated: Dec 29, 2011

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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