Sullivan, Amanda

Sullivan, Amanda is an individual health care provider with primary practice located at 3840 Hulen St , Fort Worth TX 76107-7277. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Sullivan, Amanda can be contacted via phone (817) 569-4300.

Contact Information

Primary practice address
3840 Hulen St Fort Worth TX 76107-7277
Phone: (817) 569-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1023560091
LBN Legal business name Sullivan, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2016
Last updated Oct 26th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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