Individual
SULLIVAN FROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4950 BARRANCA PKWY STE 302, IRVINE, CA 92604-4631
(949) 346-1486
Mailing address
13221 ILLINOIS ST, WESTMINSTER, CA 92683-2609
(714) 791-4866
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51500
CA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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