JACK SULLIVAN

GLENDALE, AZ
NPI1790388981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  LPT-32921)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2020-11-19
Last Update Date2025-02-06
Business Address
JACK SULLIVAN DPT
18561 N 59TH AVE
GLENDALE, AZ 85308-1256
Phone number: 602-313-4089
Mailing Address
JACK SULLIVAN DPT
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 60515-1211
Phone number:
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