James Sullivan
Physical Therapy Assistant
10821 Bouldercrest Drive
South Lyon
, Michigan 48178
James Sullivan
Physical Therapy Assistant
10821 Bouldercrest Drive
South Lyon
, Michigan 48178
(313) 717-3291
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- James Sullivan
- 10821 Bouldercrest Drive
- South Lyon, MI
- Zip : 48178
- Phone : (313) 717-3291
Second Address
- James Sullivan
- 10821 Bouldercrest Drive
- South Lyon, MI
- Zip : 48178
- Phone : (313) 717-3291
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 5502003968 | MI |
National Provider Identifier
| NPI | 1003299777 |
|---|---|
| Provider Name | James Sullivan |
| First Address | South Lyon, MI 48178 |
| Second Address | South Lyon, MI 48178 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2015 |
| Last Update Date | 30/06/2015 |
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.