| NPI | 1841230059 |
|---|---|
| Former Name | ERIN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE CP046510T) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 0018001) |
| 225100000X Physical Therapist (Licence: VA CP043917T) | |
| 225100000X Physical Therapist (Licence: WA PT70022331) | |
| 225100000X Physical Therapist (Licence: SC 12567) | |
| 225100000X Physical Therapist (Licence: GA CP040021T) | |
| 225100000X Physical Therapist (Licence: NC CP043943T) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-10-09 |