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Justin J Sullivan, PT
Specialist in Wake Forest, North Carolina
NPI 1548525090

Justin J Sullivan is a Specialist based in Wake Forest, NC. Justin J Sullivan practices in Wake Forest, NC and has the professional credentials of PT. The NPI Number for Justin J Sullivan is 1548525090 and holds a License No. P13748 (North Carolina).

The current practice location address for Justin J Sullivan is 123 Capcom Ave Ste 2, Wake Forest, NC and can be reached out via phone at 919-551-4142 and via fax at 919-694-6417.

Location: 123 Capcom Ave Ste 2, Wake Forest, NC, 27587-3612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548525090
Provider Name
Justin J Sullivan
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
123 Capcom Ave Ste 2, Wake Forest, NC, 27587-3612
Phone Number
919-551-4142
Fax Number
919-694-6417
Provider Enumeration Date
07/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
123 Capcom Ave Ste 2
City
Wake Forest
State
North Carolina
Zip
27587-6517
Phone Number
919-551-4142
Fax Number
919-694-6417
person
Provider Business Mailing Address Details
Address
123 Capcom Ave Ste 2
City
Wake Forest
State
North Carolina
Zip
27587-6517
Phone Number
919-551-4142
Fax Number
919-694-6417
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
P13748 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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