JAMES SULLIVAN

SOUTH LYON, MI
NPI1003299777
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502003968)
Enumeration Date2015-06-30
Last Update Date2015-06-30
Business Address
-- JAMES SULLIVAN PTA
10821 BOULDERCREST DRIVE
SOUTH LYON, MI 48178
Phone number: 313-717-3291
Mailing Address
-- JAMES SULLIVAN PTA
10821 BOULDERCREST DRIVE
SOUTH LYON, MI 48178
Phone number: 313-717-3291
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