Individual provider · Type 1 NPI

Tammie Sullivan, PT

Pediatric Physical Therapist · Concord, NH

NPI number 1063598951 Active

Practice location

246 Pleasant St, Suite 200
Concord, NH 03301-2548

Fax (603) 228-7384

Mailing address

1210 Black Brook Rd
Dunbarton, NH 03046-4424

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X0676 (NH)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1063598951

Tammie Sullivan, PT's National Provider Identifier is 1063598951, issued on Oct 31, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Concord, NH. The record was last updated on Jul 8, 2007.