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Search › Missouri › Physical Therapy Assistant

Jacqueline Sullivan, PTA ATRIC

NPI 1235230400 · on the registry since 2006

Practice

Address
15884 Manchester Rd
Ellisville, MO 63011
Phone
(636) 391-5400
Fax
(636) 394-9674
Organisation at this address
Prorehab Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri