BRON SULLIVAN
Rehabilitation Practitioner
Active
Individual
NPI: 1194407064
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | - |
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Community Health Worker | 172V00000X | No | - |
| Rehabilitation Practitioner | 225400000X | Yes | - |
Frequently Asked Questions
NPI 1194407064 is the National Provider Identifier for BRON SULLIVAN, a Rehabilitation Practitioner provider located in Fresno, CA. This NPI was enumerated on August 1, 2023.
BRON SULLIVAN practices at 2142 N BLYTHE AVE, Fresno, CA 93722.
Quick Facts
- NPI
- 1194407064
- Type
- Individual
- Enumerated
- Aug 1, 2023
- Last Updated
- Aug 11, 2025
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