Individual
MR. LARRY MICHAEL SULHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
25528 MAGNOLIA LN, STEVENSON RANCH, CA 91381-1843
(661) 254-3369
(661) 253-4536
Mailing address
25528 MAGNOLIA LN, STEVENSON RANCH, CA 91381-1843
(661) 254-3369
(661) 253-4536
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT009687
CA
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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