| Doctor Name: | MARIANNE SULLIVAN |
| NPI Number: | 1134170442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT 18597 |
| Business Practice Address: | 10162 Adams Ave Huntington Beach, CA - 926464907 |
| Business Phone Number: | 7148614440 |
| Business Fax Number: | 7148614450 |
| Mailing Address: | 7977 Ubeda Cir, HUNTINGTON BEACH |
| State: | CA |
| Postal Code: | 926485742 |
| Phone Number: | 7149606840 |
| Fax Number: | 7148614450 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 04/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 18597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |