Individual
ANTHONY SULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 TEN HILLS RD, SOMERVILLE, MA 02145-1021
(617) 413-3372
Mailing address
20 TEN HILLS RD, SOMERVILLE, MA 02145-1021
(617) 413-3372
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6140
MA
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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