Individual provider · Type 1 NPI

Shannon Michelle Sullivan

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1619514239 Active

Practice location

679 S New Hampshire Ave
Los Angeles, CA 90005-1355

Call (626) 254-5000 Map

Mailing address

3561 E 6th St
Los Angeles, CA 90023-1711

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1619514239

Shannon Michelle Sullivan's National Provider Identifier is 1619514239, issued on Dec 2, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 20, 2019.