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Individual

AMBER C SULLENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
625 COMMUNITY WAY, LANCASTER, PA 17603
(717) 393-0425
(717) 735-6009
Mailing address
625 COMMUNITY WAY, LANCASTER, PA 17603
(717) 393-0425
(717) 735-6009

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021680
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1026597820001
PA
Enumeration date
10/11/2011
Last updated
12/17/2013
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