Wenona Sullivan

NPI 1437499258 - Physical Therapist - 225100000X

NPI Details
NPI 1437499258
Gender Female
Enumeration Date 02/15/2013
Last Updated 02/15/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
49646 POTOMAC RIVER DR
SCOTLAND MD, 20687-3124, US
Phone (301) 904-8568
Fax
Business Location
41680 MISS BESSIE DR
SUITE 303
LEONARDTOWN MD, 20650-2906, US
Phone (240) 256-3711
Fax (240) 256-3612
Toxanomy
Taxonomy Code 225100000X
License State Maryland
License Number 17692
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According to our database, Wenona Sullivan NPI is 1437499258, taxonomy code is 225100000X and license number is 17692, license state is located at Maryland. Wenona Sullivan physically located at 49646 Potomac River Dr, Scotland MD, 20687-3124. NPI Number Wenona Sullivan has the Individual type.

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1437499258 NPI number is provided on an as is basis without warranty of any kind. 1437499258 is maintained by the National Plan & Provider Enumeration System. The contents of Wenona Sullivan are for informational purposes only.