MELANIE SULLIVAN

JOHNSTON, IA
NPI1093163404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IA  074902)
Enumeration Date2016-05-25
Last Update Date2016-05-25
Business Address
-- MELANIE SULLIVAN
6866 JACK LONDON DR
JOHNSTON, IA 50131-4755
Phone number: 641-832-8690
Mailing Address
-- MELANIE SULLIVAN
6866 JACK LONDON DR
JOHNSTON, IA 50131-4755
Phone number: 641-832-8690