Jerry Sullivan, PT

NPI #1487631594 in Elgin, Illinois

Provider Information

NPI Number
1487631594
Entity Type
Individual
Name
Jerry Sullivan, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Dec 29, 2005
Last Updated
Oct 25, 2013

Practice Location

Address
1975 LIN LOR LN
City
Elgin
ZIP Code
60123-4902
Phone
(847) 468-6098

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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