JAMES FRED SULLIVAN

SHREVEPORT, LA
NPI1649384983
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy226300000X Kinesiotherapist
(Licence: LA  621)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
Mr. JAMES FRED SULLIVAN RKT CEP
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-424-6106
Mailing Address
Mr. JAMES FRED SULLIVAN RKT CEP
110 HUNTER LEE LN
STONEWALL, LA 71078-4800
Phone number: 318-925-3778