Dr. Katherine Josephine Sullivan
Physical Therapist - Neurology Physical Therapist - Geriatrics
194 Loch Lomond Rd
Rancho Mirage
, California 92270
Dr. Katherine Josephine Sullivan
Physical Therapist - Neurology Physical Therapist - Geriatrics
194 Loch Lomond Rd
Rancho Mirage
, California 92270
(626) 674-0361
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About
Features
Specialties
- Physical Therapist - Geriatrics
- Physical Therapist - Neurology
Languages spoken
- English
Location
First Address
- Dr. Katherine Josephine Sullivan
- 194 Loch Lomond Rd
- Rancho Mirage, CA
- Zip : 92270-5600
- Phone : (626) 674-0361
Second Address
- Dr. Katherine Josephine Sullivan
- 194 Loch Lomond Rd
- Rancho Mirage, CA
- Zip : 92270
- Phone : (626) 674-0361
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251G0304X | Physical Therapist - Geriatrics | 14280 | CA |
| Y | 2251N0400X | Physical Therapist - Neurology | 14280 | CA |
National Provider Identifier
| NPI | 1285033878 |
|---|---|
| Provider Name | Dr. Katherine Josephine Sullivan |
| First Address | Rancho Mirage, CA 92270-5600 |
| Second Address | Rancho Mirage, CA 92270 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2014 |
| Last Update Date | 22/04/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.