Individual provider · Type 1 NPI
Jeanine Sullivan, MSPT
Pediatric Physical Therapist · Port Chester, NY
Practice location
210 Glen Ave
Port Chester, NY 10573-2525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 027681-1 (NY) |
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…
About NPI 1639322589
Jeanine Sullivan, MSPT's National Provider Identifier is 1639322589, issued on Oct 23, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Port Chester, NY. The record was last updated on Oct 23, 2008.