| Doctor Name: | MRS. LISA HADELER SULLIVAN |
| NPI Number: | 1700014065 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 40QA00616700 |
| Business Practice Address: | 1420 Hwy 36 Hazlet, NJ - 077301736 |
| Business Phone Number: | 7323350398 |
| Business Fax Number: | 7323359376 |
| Mailing Address: | 94 Garden Rd, SHREWSBURY |
| State: | NJ |
| Postal Code: | 077024474 |
| Phone Number: | 7322120601 |
| Fax Number: | |
| NPI Enumeration Date: | 06/25/2009 |
| NPI Last Update Date: | 08/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00616700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |