Sullivan, Maria

Sullivan, Maria is an individual health care provider with primary practice located at 540 Lake Center Pkwy Suite 107, Cumming GA 30040-7727. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Sullivan, Maria can be contacted via phone (770) 205-3939.

Contact Information

Primary practice address
540 Lake Center Pkwy Suite 107 Cumming GA 30040-7727
Fax:
Website:

Profile Details

NPI number 1376653964
LBN Legal business name Sullivan, Maria
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 9th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376653964 NPPES
Georgia Other PTA001177 LICENSE#

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