Sullivan, Kristina Lauren

Sullivan, Kristina Lauren is an individual health care provider with primary practice located at 8059 Hospital Drive , Douglasville GA 30134. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Sullivan, Kristina Lauren can be contacted via phone (770) 947-5440.

Contact Information

Primary practice address
8059 Hospital Drive Douglasville GA 30134
Phone: (770) 947-5440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1841300480
LBN Legal business name Sullivan, Kristina Lauren
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841300480 NPPES
Georgia Other PTA 001864 LICENSE#

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