NPI 1003040858

Michelle Yvette Sullivan, DPT

Practitioner Specialist Pasadena, CA

Practice location

Address: 288 Atchison St, Pasadena, CA 91104-1002
Phone: (626) 798-4050
Fax: (626) 798-4050

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence PT27523 (CA)

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Registry record

NPI: 1003040858
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2009
Record last updated: 8 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.