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Individual
SEAN PATRICK LANDIS
Active
Individual
SEAN PATRICK LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08703R
LOUISIANA BOARD OF PHYSICAL THERAPY PRACTICE
LA
01
—
28611
FLORIDA BOARD OF PHYSICAL THERAPY PRACTICE
FL
Enumeration date
09/24/2013
Last updated
10/13/2017
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