Individual
DONNA M O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
125 BROAD ST, WEYMOUTH, MA 02188-2336
(781) 337-3121
Mailing address
63 BARRY RD, ABINGTON, MA 02351-1613
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4080
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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