Individual
MISS ANNE MARIE O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
325 ROLLING OAKS DR, SUITE 250, THOUSAND OAKS, CA 91361-1201
(805) 230-2673
(805) 230-2134
Mailing address
325 ROLLING OAKS DR, SUITE 250, THOUSAND OAKS, CA 91361-1201
(805) 230-2673
(805) 230-2134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27958
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W17180
GROUP ID
CA
Enumeration date
03/28/2007
Last updated
07/09/2007
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