GRANT SULLIVAN

BOWIE, MD
NPI1851758106
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MD  25301)
Enumeration Date2016-01-18
Last Update Date2023-10-27
Business Address
GRANT SULLIVAN
6842 RACE TRACK RD STE B
BOWIE, MD 20715-3011
Phone number: 240-544-0200
Mailing Address
GRANT SULLIVAN
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 866-370-8206