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Individual

JOHN L SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
6720 E GREEN LAKE WAY N, SEATTLE, WA 98103-5439
(206) 525-9666
Mailing address
6720 E GREEN LAKE WAY N, SEATTLE, WA 98103-5439
(206) 525-9666

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P3 60394421
WA

Other

Enumeration date
01/15/2014
Last updated
01/15/2014
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