Amanda J Sullivan, PTA

NPI #1275878183 in North Attleboro, Massachusetts

Provider Information

NPI Number: 1275878183
Entity Type: Individual
Name: Amanda J Sullivan, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 4, 2012
Last Updated: Dec 4, 2012

Practice Location

Address: 71 MILLARD RD
City: North Attleboro
State: Massachusetts
ZIP Code: 02760-4407
Phone: (508) 838-4090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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