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Individual

MR. RONALD L SULTAN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2 GRACEDALE AVE, NAZARETH, PA 18064-8785
(610) 746-1900
Mailing address
2 GRACEDALE AVE, NAZARETH, PA 18064-8785
(610) 746-1900

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009466
PA

Other

Enumeration date
08/27/2012
Last updated
08/27/2012
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