THOMAS PATRICK SULLIVAN

BREMERTON, WA
NPI1366963456
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160732078)
Enumeration Date2017-06-29
Last Update Date2017-06-29
Business Address
Mr. THOMAS PATRICK SULLIVAN PTA
560 LEBO BLVD
BREMERTON, WA 98310-2617
Phone number: 360-479-1515
Mailing Address
Mr. THOMAS PATRICK SULLIVAN PTA
14519 KINGSCROSS CIR NW
SILVERDALE, WA 98383-7996
Phone number: 360-261-5425