Penelope N Sullivan, PT
Physical Therapist in Boston, MA. Individual provider (NPI-1).
NPI number1124171012
StatusActive
Last updated in NPPESAug 20, 2007
Details
- NPI
- 1124171012
- Entity type
- Individual (NPI-1)
- Name
- Penelope N Sullivan
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Aug 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1822 | MA | Yes |
Practice location
300 Longwood AveBoston, MA 02115-5724
Phone 617-355-7212 · Fax 617-730-0151
Mailing address
300 Longwood AveFarley 6 Fa123
Boston, MA 02115-5724
Phone 617-355-7212 · Fax 617-730-0151
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All 862 Physical Therapist providers in Boston · All 44,461 providers in Boston
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