| NPI | 1194149856 |
|---|---|
| Former Name | KATHLEEN E SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1240738) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2021-03-10 |