Individual provider · Type 1 NPI

Michelle M. Sullivan

Physical Therapy Assistant · Newark, NY

NPI number 1265761654 Active

Practice location

150 Van Buren St
Newark, NY 14513-1238

Call (315) 331-7741 Map

Fax (315) 331-0566

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X7320 (NY)

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 1265761654

Michelle M. Sullivan's National Provider Identifier is 1265761654, issued on Dec 14, 2009. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Newark, NY. The record was last updated on Dec 14, 2009.