Miss Deidra L Sullivan, DPT
Physical Therapist in Salem, Massachusetts
1265551634- Practice location
- 57 Highland Ave, Salem, MA 01970-2141
- Phone
- 978-354-2746
- Fax
- 978-740-4960
- Last updated
- July 8, 2007
Deidra L Sullivan is a Physical Therapist based in Salem, MA. Deidra L Sullivan practices in Salem, MA and has the professional credentials of DPT. The NPI Number for Deidra L Sullivan is 1265551634 and holds a License No. 16451 (MA). The current practice location address for Deidra L Sullivan is 57 Highland Ave, Salem, MA 01970-2141 and can be reached out via phone at 978-354-2746 and via fax at 978-740-4960.
Provider Profile Details
- NPI Number
- 1265551634
- Provider Name
- Deidra L Sullivan
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 57 Highland Ave, Salem, MA 01970-2141
- Phone Number
- 978-354-2746
- Fax Number
- 978-740-4960
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 28, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 57 Highland Ave
Salem, MA 01970-2141 - City
- Salem
- State
- Massachusetts
- Zip
- 01970-2141
- Phone Number
- 978-354-2746
- Fax Number
- 978-740-4960
Provider Business Mailing Address Details
- Address
- 2 Longbranch Ave
Rockport, MA 01966-1115 - City
- Rockport
- State
- MA
- Zip
- 01966-1115
- Phone Number
- 978-546-9290
License Information
- License Number
- 16451
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Deidra L Sullivan, DPT?
The NPI number of Miss Deidra L Sullivan, DPT is 1265551634. It was assigned on March 28, 2007 and is currently active in the NPPES registry.
What is the specialty of Miss Deidra L Sullivan, DPT?
Miss Deidra L Sullivan, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 16451.
Where does Miss Deidra L Sullivan, DPT practice?
The practice location is 57 Highland Ave, Salem, MA 01970-2141. The office can be reached at 978-354-2746 (phone) or 978-740-4960 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265551634 directly on the NPPES registry website.