MADELINE KLAIRE SULLIVAN

MAGEE, MS
NPI1831882976
Former NameMADELINE KLAIRE MAYNARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies2251P0200X Physical Therapist, Pediatrics
2251S0007X Physical Therapist, Sports
2251H1200X Physical Therapist, Hand
2251H1300X Physical Therapist, Human Factors
2251N0400X Physical Therapist, Neurology
2251E1200X Physical Therapist, Ergonomics
2251E1300X Physical Therapist, Electrophysiology, Clinical
2251C2600X 
2251G0304X Physical Therapist, Geriatrics
(Licence: MS  PT7542)
2251X0800X Physical Therapist, Orthopedic
Enumeration Date2023-06-02
Last Update Date2023-06-02
Business Address
MADELINE KLAIRE SULLIVAN DPT
300 3RD AVE SE
MAGEE, MS 39111-3665
Phone number: 601-849-5070
Mailing Address
MADELINE KLAIRE SULLIVAN DPT
1408 VICTORIA LN
BRANDON, MS 39042-6089
Phone number: