Doctor Name: | MRS. LAURA SULLIVAN |
NPI Number: | 1235300278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 11224 |
Business Practice Address: | 1980 Crompond Rd Cortlandt Manor, NY - 105674144 |
Business Phone Number: | 9147343641 |
Business Fax Number: | 9147376439 |
Mailing Address: | 1980 Crompond Rd, CORTLANDT MANOR |
State: | NY |
Postal Code: | 105674144 |
Phone Number: | 9147343641 |
Fax Number: | 9147376439 |
NPI Enumeration Date: | 03/18/2008 |
NPI Last Update Date: | 10/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11224 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
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 |