MR. James Fred Sullivan, RKT CEP
NPI #1649384983 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1649384983
- Entity Type
- Individual
- Name
- MR. James Fred Sullivan, RKT CEP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Kinesiotherapist
- Credential
- RKT CEP
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 510 E STONER AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71101-4243
- Phone
- (318) 424-6106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Kinesiotherapist |
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