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1245695402
PAUL SULLIVAN
FORKED RIVER, NJ
NPI
1245695402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01649500)
Enumeration Date
2015-12-15
Last Update Date
2016-06-01
Business Address
-- PAUL SULLIVAN PT, DPT
34 MANCHESTER AVE
FORKED RIVER, NJ 08731-1366
Phone number: 609-693-9345
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Mailing Address
-- PAUL SULLIVAN PT, DPT
833 CHESTNUT ST STE 1402
PHILADELPHIA, PA 19107-4404
Phone number: 800-321-9999
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