| Shane Sullivan, | |
|
505 Blakey Hall Ln, Elon, NC 27244-7966 | |
| (336) 260-2361 | |
| Not Available |
| Full Name | Shane Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 505 Blakey Hall Ln, Elon, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184339699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P21873 (North Carolina) | Primary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | P21873 (North Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Sullivan, 1159 Pate Farm Ln, Durham, NC 27703-6813 Ph: (336) 409-6320 | Shane Sullivan, 505 Blakey Hall Ln, Elon, NC 27244-7966 Ph: (336) 260-2361 |
Dr. Jeffrey Durand Shoup, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Holmes Way, Elon, NC 27244 Phone: 336-260-2361 |
Dr. Joseph Victor Libera, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 209 S Williamson Ave, Elon, NC 27244 Phone: 336-684-0500 Fax: 336-584-0189 |
Nan Yang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 762 E Haggard Ave, Elon, NC 27244 Phone: 540-998-8686 |
Dr. Breanna Maria Lanouette, PT, DPT, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 Blakely Hall Ln, Elon, NC 27244 Phone: 407-417-3093 |