Doctor Name: | JOANN D SULLIVAN |
NPI Number: | 1568895803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 009282 |
Business Practice Address: | 626 N Tyndall Pkwy Panama City, FL - 324046132 |
Business Phone Number: | 8508716363 |
Business Fax Number: | |
Mailing Address: | 4028 Oak Forest Dr, PANAMA CITY |
State: | FL |
Postal Code: | 324045783 |
Phone Number: | 8506252393 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2013 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 009282 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
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 |