MRS. REGINA SULLIVAN, PTA

Physical Therapy Assistant

Active Individual
NPI: 1104030238

Practice Address

5530 WHITE CEDAR LN
Northport, AL 35473

Phone: (205) 792-3331

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 3529 (TN)

Frequently Asked Questions

NPI 1104030238 is the National Provider Identifier for MRS. REGINA SULLIVAN, PTA, a Physical Therapy Assistant provider located in Northport, AL. This NPI was enumerated on May 9, 2007.
MRS. REGINA SULLIVAN, PTA practices at 5530 WHITE CEDAR LN, Northport, AL 35473.

Quick Facts

NPI
1104030238
Type
Individual
Enumerated
May 9, 2007
Last Updated
Jul 8, 2007

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