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Mary Sullivan, PTA

NPI 1871802488 · on the registry since 2010 · sole proprietor

Practice

Address
12301 Lake Underhill Rd Ste 118
Orlando, FL 32828
Phone
(407) 218-4660
Fax
(407) 218-4661
Organisation at this address
Braincare, Llc
Addmedhealth Llc
Hpg Podiatry Llc
Natus Peloton Inc.
Hpg Psychiatry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-30

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 Florida