IndividualActive
Anthony Sullo
NPI 1063661460 · Physical Therapy Assistant · Somerville, MA
Provider details
- NPI number
- 1063661460
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6140 (MA)
Mailing address
20 Ten Hills Rd
Somerville, MA 02145-1021
Registry dates
- Enumerated
- 2008-09-10
- Last updated
- 2008-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.