Doctor Name: | BRENDAN SULLIVAN |
NPI Number: | 1962494740 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 017907 |
Business Practice Address: | 8 Century Hill Dr Suite 201 Latham, NY - 121102193 |
Business Phone Number: | 5186904406 |
Business Fax Number: | |
Mailing Address: | Po Box 14631, Empire Fitness & Pt, Pc ALBANY |
State: | NY |
Postal Code: | 122124631 |
Phone Number: | 5186904406 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2005 |
NPI Last Update Date: | 08/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 017907 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |