MRS. Heidi Sulick, PTA

NPI #1548515000 in Pooler, Georgia

Provider Information

NPI Number: 1548515000
Entity Type: Individual
Name: MRS. Heidi Sulick, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 19, 2012
Last Updated: Jul 19, 2012

Practice Location

Address: 3 OLD BRIDGE DR
City: Pooler
State: Georgia
ZIP Code: 31322-4906
Phone: (912) 450-6203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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