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Search › New York › 208100000X

Raven Dominique Sullivan, PT, DPT

NPI 1619869666 · on the registry since 2025 · sole proprietor

Practice

Address
2121 Paulding Ave Apt 4b
Bronx, NY 10462
Phone
(347) 394-6182
Organisation at this address
Tres Physical Therapy Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-07-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York