Individual
MARSHALL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
346 SPRUCEWOOD LN, SAN ANTONIO, TX 78216-6414
(210) 737-4291
Mailing address
346 SPRUCEWOOD LN, SAN ANTONIO, TX 78216-6414
(210) 737-4291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2070353
TX
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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