Most Relevant Information
Provider Data
| NPI Number: | 1003048935 |
| Provider Name: | ANNPAT SULLIVAN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251P0200X |
| Specialty: | Physical Therapist |
| License Number: | PT000606E |
Most Important Dates
| Enumeration Date: | 08/11/2009 |
| Last Updated: | 08/11/2009 |
Provider Practice Location
53 GRAVEL ST
WILKES BARRE
PA
187053738
Practice Location Phone/Fax
| Phone: | 5703715600 |
| Fax: |
Provider Mailing Location
70 EAST MAPLE STREET
P.O. BOX 51
TRESCKOW
PA
182540051
Provider Mailing Phone/Fax
| Phone: | 5704544958 |
| Fax: |