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1003982711
TODD MICHAEL SULLIVAN
FORT WAYNE, IN
NPI
1003982711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05008436A)
Enumeration Date
2006-11-27
Last Update Date
2010-04-08
Business Address
Mr. TODD MICHAEL SULLIVAN MPT
7930 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-5800
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Mailing Address
Mr. TODD MICHAEL SULLIVAN MPT
4251 LAHMEYER RD
FORT WAYNE, IN 46815-5676
Phone number: 260-432-4700
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