Individual
MS. DANIELLE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT104780
Contact information
Practice address
6740 TWELVE OAKS BLVD, TAMPA, FL 33634-2266
(754) 333-0997
Mailing address
6740 TWELVE OAKS BLVD, TAMPA, FL 33634-2266
(754) 333-0997
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
104780
FL
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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