SAMANTHA JEAN SULLIVAN

JOHNSTON, IA
NPI1508418930
Former NameSAMANTHA JEAN FOREHEAD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  096840)
Enumeration Date2019-07-16
Last Update Date2023-04-06
Business Address
Dr. SAMANTHA JEAN SULLIVAN PT, DPT
5627 NW 86TH ST STE 200
JOHNSTON, IA 50131-1738
Phone number: 515-270-0303
Mailing Address
Dr. SAMANTHA JEAN SULLIVAN PT, DPT
5627 NW 86TH ST STE 200
JOHNSTON, IA 50131-1738
Phone number: 515-270-0303
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