| Doctor Name: | COLLEEN M SULLIVAN |
| NPI Number: | 1447297429 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | PT00006727 |
| Business Practice Address: | 1160 Sw Simpson Ave Ste 200 Bend, OR - 977023542 |
| Business Phone Number: | 5413229045 |
| Business Fax Number: | 5413229044 |
| Mailing Address: | 805 Sw Industrial Way, Ste 3 BEND |
| State: | OR |
| Postal Code: | 977021093 |
| Phone Number: | 5415852541 |
| Fax Number: | 5415852536 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 11/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00006727 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| 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 |