| Doctor Name: | ANNPAT SULLIVAN |
| NPI Number: | 1003048935 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT000606E |
| Business Practice Address: | 53 Gravel St Wilkes Barre, PA - 187053738 |
| Business Phone Number: | 5703715600 |
| Business Fax Number: | |
| Mailing Address: | 70 East Maple Street, P.o. Box 51 TRESCKOW |
| State: | PA |
| Postal Code: | 182540051 |
| Phone Number: | 5704544958 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2009 |
| NPI Last Update Date: | 08/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | PT000606E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |