MARK EDWARD SULLENBARGER

CONNERSVILLE, IN
NPI1164793519
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003711A)
Enumeration Date2012-01-17
Last Update Date2012-01-17
Business Address
Mr. MARK EDWARD SULLENBARGER PTA
1029 E 5TH ST
CONNERSVILLE, IN 47331-3301
Phone number: 765-825-0543
Mailing Address
Mr. MARK EDWARD SULLENBARGER PTA
1029 E 5TH ST
CONNERSVILLE, IN 47331-3301
Phone number: 765-825-0543
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