Individual
MARK SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
41 COBBLERS WAY, ASHEVILLE, NC 28804-1463
(828) 575-0201
Mailing address
477 LANDSDOWNE CIR, HAMPSTEAD, NC 28443-3912
(843) 263-9277
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8418
NC
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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