Raikesha Sullivan

NPI #1477058436 in Robertsdale, Alabama

Provider Information

NPI Number: 1477058436
Entity Type: Individual
Name: Raikesha Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 29, 2018
Last Updated: Mar 29, 2018

Practice Location

Address: 18700 US HIGHWAY 90
City: Robertsdale
State: Alabama
ZIP Code: 36567-3271
Phone: (251) 947-1911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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