Individual
MARGARET ANN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 11TH ST, BARABOO, WI 53913-1730
(608) 356-1120
Mailing address
1011 11TH ST, BARABOO, WI 53913-1730
(608) 356-1120
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1818 046
WI
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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