THOMAS CARSON BRUYER SULLIVAN

ALBERT LEA, MN
NPI1487203386
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MN  11698)
Enumeration Date2019-09-04
Last Update Date2022-03-08
Business Address
THOMAS CARSON BRUYER SULLIVAN
2440 BRIDGE AVE STE 300
ALBERT LEA, MN 56007-2098
Phone number: 507-552-0022
Mailing Address
THOMAS CARSON BRUYER SULLIVAN
500 CROSS ST
BIG STONE CITY, SD 57216-8237
Phone number: 605-541-1140
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