MICHAEL LEON SULLIVAN

SPRINGFIELD, MO
NPI1285987818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  116911)
Enumeration Date2012-10-19
Last Update Date2012-10-19
Business Address
Mr. MICHAEL LEON SULLIVAN PTA
1707 W ELFINDALE ST
SPRINGFIELD, MO 65807-1246
Phone number: 417-831-2273
Mailing Address
Mr. MICHAEL LEON SULLIVAN PTA
1707 W ELFINDALE ST
SPRINGFIELD, MO 65807-1246
Phone number: 417-831-2273
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