| Doctor Name: | MERYL SULLIVAN |
| NPI Number: | 1891977286 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 3284 |
| Business Practice Address: | 73 Newton Rd Ste 11 Plaistow, NH - 038652424 |
| Business Phone Number: | 9783887272 |
| Business Fax Number: | 9783887373 |
| Mailing Address: | 73 Newton Rd 101, PLAISTOW |
| State: | NH |
| Postal Code: | 038652440 |
| Phone Number: | 9783887272 |
| Fax Number: | 9783887373 |
| NPI Enumeration Date: | 11/28/2007 |
| NPI Last Update Date: | 09/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 3284 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |