KEITH EDWARD SULLIVAN

SAN BRUNO, CA
NPI1164823738
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist Orthopedic
(Licence: CA  37244)
Enumeration Date2014-09-15
Last Update Date2022-01-03
Business Address
KEITH EDWARD SULLIVAN DPT
1001 SNEATH LN
SAN BRUNO, CA 94066-2308
Phone number: 650-871-8645
Mailing Address
KEITH EDWARD SULLIVAN DPT
1717 LOS ALTOS DR
SAN MATEO, CA 94402-3602
Phone number: 650-200-9600
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