Doctor Name: | PAUL SULLIVAN |
NPI Number: | 1093884199 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT 2206 |
Business Practice Address: | 75-5699 Kopiko St Kailua Kona, HI - 967401668 |
Business Phone Number: | 8083297744 |
Business Fax Number: | |
Mailing Address: | 75-5699 Kopiko St, KAILUA KONA |
State: | HI |
Postal Code: | 967401668 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 2206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |