Individual provider · Type 1 NPI

Sean David Sullivan, PTA/L

Physical Therapy Assistant · Brockton, MA

NPI number 1114294329 Active

Practice location

804 Pleasant St
Brockton, MA 02301-3055

Call (508) 583-6000 Map

Mailing address

42 Biscayne Ave
Weymouth, MA 02188-3025

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3586 (MA)

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 1114294329

Sean David Sullivan, PTA/L's National Provider Identifier is 1114294329, issued on Nov 17, 2011. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Brockton, MA. The record was last updated on Nov 17, 2011.