Individual
MRS. REGINA ANGELA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5530 WHITE CEDAR LN, NORTHPORT, AL 35473-1160
(205) 792-3331
Mailing address
5530 WHITE CEDAR LN, NORTHPORT, AL 35473-1160
(205) 792-3331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3529
TN
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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