Individual
ANDREW SULSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5003 INDIGO WAY, MELBOURNE, FL 32940-1443
(321) 210-8873
Mailing address
5003 INDIGO WAY, MELBOURNE, FL 32940-1443
(321) 210-8873
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
173995
FL
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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