Individual
MRS. AMY D SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
340 MAGNOLIA CIR, PANAMA CITY, FL 32403-5604
(850) 283-7019
(850) 283-7152
Mailing address
340 MAGNOLIA CIR, PANAMA CITY, FL 32403-5604
(850) 283-7019
(850) 283-7152
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19729
FL
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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