JENELLE M SULLIVAN

JACKSON, WY
NPI1376601625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WY  PT-1097)
Enumeration Date2006-12-05
Last Update Date2010-10-07
Business Address
-- JENELLE M SULLIVAN PT
1116 MAPLE WAY
JACKSON, WY 83002
Phone number: 307-733-7037
Mailing Address
-- JENELLE M SULLIVAN PT
1116 MAPLE WAY P.O. BOX 9725
JACKSON, WY 83002
Phone number: 307-733-7037
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