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SHANE SULLIVAN

Physical Therapist

NPI: 1942371216IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

6673(AZ)
Sports Physical Therapist

Physical Therapist — Sports

Code: 2251S0007X

6673(AZ)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2002

Contact & Hours

Address
10133 N 92ND ST STE 101
SCOTTSDALE, AZ 85258

Quick Facts

NPI
1942371216
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
24

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