Doctor Name: | DIANNA SULLIVAN |
NPI Number: | 1285064584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 20878 |
Business Practice Address: | 16 Chestnut St Suite 100 Foxboro, MA - 020351472 |
Business Phone Number: | 7815515812 |
Business Fax Number: | 5086988671 |
Mailing Address: | 16 Chestnut St, Suite 100 FOXBORO |
State: | MA |
Postal Code: | 020351472 |
Phone Number: | 7815515812 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2013 |
NPI Last Update Date: | 06/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |