Individual
REILLY DAVID SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
60 COLUMBIA ST STE 501, ORLANDO, FL 32806-1115
(412) 956-7217
Mailing address
1420 LAKE SHADOW CIR APT 9307, MAITLAND, FL 32751-7582
(412) 956-7217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31394
FL
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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