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1871802488
MARY SULLIVAN
ORLANDO, FL
NPI
1871802488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA940)
Enumeration Date
2010-09-30
Last Update Date
2010-09-30
Business Address
-- MARY SULLIVAN PTA
12301 LAKE UNDERHILL RD STE 118
ORLANDO, FL 32828-4510
Phone number: 407-218-4660
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Mailing Address
-- MARY SULLIVAN PTA
12301 LAKE UNDERHILL RD STE 118
ORLANDO, FL 32828-4510
Phone number: 407-218-4660
Copy
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