JERRY SULLIVAN, PT
Physical Therapist
Active
Individual
NPI: 1487631594
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 070-002636 (IL) |
Frequently Asked Questions
NPI 1487631594 is the National Provider Identifier for JERRY SULLIVAN, PT, a Physical Therapist provider located in Elgin, IL. This NPI was enumerated on December 29, 2005.
JERRY SULLIVAN, PT practices at 1975 LIN LOR LN, Elgin, IL 60123.
Quick Facts
- NPI
- 1487631594
- Type
- Individual
- Enumerated
- Dec 29, 2005
- Last Updated
- Oct 25, 2013
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