Individual
AMANDA J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
71 MILLARD RD, NORTH ATTLEBORO, MA 02760-4407
(508) 838-4090
Mailing address
71 MILLARD RD, NORTH ATTLEBORO, MA 02760-4407
(508) 838-4090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00727
RI
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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