Individual
ANDREA LEE SULEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3302 ROBERT GRISSOM PKWY, MYRTLE BEACH, SC 29577-6401
(843) 445-2051
Mailing address
199 AUGUSTA PLANTATION DR, UNIT W, MYRTLE BEACH, SC 29579-6449
(773) 680-0104
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1089
SC
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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