RICHARD MICHAEL SULLIVAN

BELLEVUE, WA
NPI1821317603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160068768)
Enumeration Date2010-05-19
Last Update Date2010-05-19
Business Address
-- RICHARD MICHAEL SULLIVAN PTA
4455 148TH AVE NE
BELLEVUE, WA 98007-3120
Phone number: 425-861-6255
Mailing Address
-- RICHARD MICHAEL SULLIVAN PTA
4455 148TH AVE NE
BELLEVUE, WA 98007-3120
Phone number: 425-861-6255