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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK EDWARD SULLENBARGER, PTA

Active Sole Proprietor

MR. MARK EDWARD SULLENBARGER, PTA is a Occupational Therapist healthcare provider located in CONNERSVILLE, Indiana. NPI 1164793519 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CONNERSVILLE, IN

Registration Details

NPI Number
1164793519
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2012 (14.546961309235 yrs)
Last Updated
Jan 17, 2012
License
06003711A (IN)
Sole Proprietor
Yes

Practice Information

Address
1029 E 5TH ST
CONNERSVILLE, IN, 473313301
Browse IN providers · Browse ZIP 47331
Phone
7658250543
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in CONNERSVILLE, IN

Name Credential NPI
MRS. PAMELA SUZANNE KELLER P.T.A. 1629256565
ERICA ANN GAINES PTA 1477795409
KENYA LOUISE LAKES 1952739658
TONIA E BIEHL PTA 1831601921
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.