| Doctor Name: | DR. HEATHER STONE SULLIVAN |
| NPI Number: | 1326165200 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 17688 |
| Business Practice Address: | 5 N Meadows Rd Medfield, MA - 020522317 |
| Business Phone Number: | 5083599119 |
| Business Fax Number: | 5083599115 |
| Mailing Address: | 32 Timberline Rd, MILLIS |
| State: | MA |
| Postal Code: | 020541149 |
| Phone Number: | 7813671841 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2007 |
| NPI Last Update Date: | 02/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 17688 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |