Individual provider · Type 1 NPI

James Sullivan, PTA

Physical Therapy Assistant · South Lyon, MI

NPI number 1003299777 Active

Practice location

10821 Bouldercrest Drive
South Lyon, MI 48178

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502003968 (MI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1003299777

James Sullivan, PTA's National Provider Identifier is 1003299777, issued on Jun 30, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in South Lyon, MI. The record was last updated on Jun 30, 2015.