Individual
DIANE SUTLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10413 AZALEA PARK DR N, PINELLAS PARK, FL 33782-2743
(727) 235-1230
Mailing address
10413 AZALEA PARK DR N, PINELLAS PARK, FL 33782-2743
(727) 235-1230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/28/2013
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