| NPI | 1033187083 |
|---|---|
| Former Name | KAREN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT013275) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501014541) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2024-05-10 |