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Individual

TIMOTHY SULLIVAN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
318 E MAIDEN ST, WASHINGTON, PA 15301-5108
(724) 993-4615
Mailing address
318 E MAIDEN ST, WASHINGTON, PA 15301-5108
(724) 993-4615

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG011511
PA

Other

Enumeration date
09/04/2019
Last updated
09/04/2019
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