Tina Kaye Sullivan, PTA

NPI #1366922031 in Fairfield, Texas

Provider Information

NPI Number
1366922031
Entity Type
Individual
Name
Tina Kaye Sullivan, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 21, 2018
Last Updated
Aug 21, 2018

Practice Location

Address
601 E REUNION ST
State
Texas
ZIP Code
75840-1634
Phone
(903) 389-4121

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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