VICKY LYNN SULLIVAN

LA GRANDE, OR
NPI1609898840
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  8027)
Enumeration Date2006-07-24
Last Update Date2012-02-09
Business Address
-- VICKY LYNN SULLIVAN LPTA
90 SUNSET DRIVE
LA GRANDE, OR 97850
Phone number: 541-963-1437
Mailing Address
-- VICKY LYNN SULLIVAN LPTA
PO BOX 3290 900 SUNSET DRIVE
LA GRANDE, OR 97850
Phone number: 541-963-1437
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