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Michael Sullivan, PTA
NPI 1285987818 · on the registry since 2012
Practice
- Address
- 1707 W Elfindale St
Springfield, MO 65807 - Phone
- (417) 831-2273
- Fax
- (417) 865-6876
- Organisation at this address
- Select Rehab
Manor Of Elfindale, Inc.
Vsl Springfield Manor LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-19
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