STEVE EDWARD SULLIVAN

FORT WAYNE, IN
NPI1447210505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05006484A)
Enumeration Date2006-03-24
Last Update Date2021-02-25
Business Address
STEVE EDWARD SULLIVAN DPT
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 46845-1728
Phone number: 260-266-7400
Mailing Address
STEVE EDWARD SULLIVAN DPT
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: