Individual
CATHY SULENTIC-MORCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0265
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005652
WELLMARK BC/BS
SD
05
—
112224000
—
WY
05
—
5830762
—
SD
Enumeration date
07/11/2005
Last updated
08/28/2008
Update your record
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