Individual
STEPHANIE SULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 TAMPA RD UNIT 284, OLDSMAR, FL 34677-9713
(727) 485-4660
(727) 789-9204
Mailing address
3905 TAMPA RD UNIT 284, OLDSMAR, FL 34677-9713
(727) 485-4660
(727) 789-9204
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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