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Individual

CARIANNE ALYSE SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2319 HANOVER PIKE STE G, HAMPSTEAD, MD 21074-1137
(410) 374-0925
Mailing address
207 COLBERT ST, TANEYTOWN, MD 21787-2199

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26701
MD

Other

Enumeration date
02/08/2022
Last updated
02/23/2022
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