Individual
MRS. ANGELA RENEA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
305 CHERRY ST, PHILADELPHIA, PA 19106-1803
(215) 238-9848
Mailing address
80 ASPEN WAY, SCHWENKSVILLE, PA 19473-2330
(610) 287-7710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE007473
PA
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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