MRS. Regina Angela Sullivan, PTA

NPI #1104030238 in Northport, Alabama

Provider Information

NPI Number: 1104030238
Entity Type: Individual
Name: MRS. Regina Angela Sullivan, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5530 WHITE CEDAR LN
City: Northport
State: Alabama
ZIP Code: 35473-1160
Phone: (205) 792-3331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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