Kevin G O'Sullivan, PT
Physical Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1669939476
StatusActive
Last updated in NPPESFeb 28, 2019
Details
- NPI
- 1669939476
- Entity type
- Individual (NPI-1)
- Name
- Kevin G O'Sullivan
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2019
- Last updated
- Feb 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 13513 | CA | Yes |
Practice location
10790 Rancho Bernardo RdSan Diego, CA 92127-5705
Phone 619-452-7000
Mailing address
10790 Rancho Bernardo RdSan Diego, CA 92127-5705
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