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Diane Sullivan, PTA
NPI 1225224983 · on the registry since 2007 · sole proprietor
Practice
- Address
- 500 Irvington Road
Kilmarnock,, VA 22482 - Phone
- (804) 435-3435
- Fax
- (804) 435-3682
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia