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Keith Edward Sullivan, DPT
Orthopedic Physical Therapist in San Bruno, California
NPI 1164823738

Keith Edward Sullivan is a Orthopedic Physical Therapist based in San Mateo, CA and is specialized in Orthopedic. Keith Edward Sullivan practices in San Bruno, CA and has the professional credentials of DPT. The NPI Number for Keith Edward Sullivan is 1164823738 and holds a License No. 37244 (California).

The current practice location address for Keith Edward Sullivan is 1001 Sneath Ln, San Bruno, CA and can be reached out via phone at 650-871-8645.

Location: 1001 Sneath Ln, San Bruno, CA, 94402-3602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164823738
Provider Name
Keith Edward Sullivan
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
1001 Sneath Ln, San Bruno, CA, 94402-3602
Phone Number
650-871-8645
Fax Number
Provider Enumeration Date
09/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1001 Sneath Ln
City
San Bruno
State
California
Zip
94066-2308
Phone Number
650-871-8645
Fax Number
person
Provider Business Mailing Address Details
Address
1001 Sneath Ln
City
San Bruno
State
California
Zip
94066-2308
Phone Number
650-871-8645
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
37244 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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