Individual
ALORA MARIE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
310 PERIMETER RD, CLEMSON, SC 29634-0001
(864) 656-3357
Mailing address
347 MORNING DEW LN, SENECA, SC 29678-1920
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1564
SC
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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