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Individual
SEAN MICHAEL NEVILLE
Active
Individual
SEAN MICHAEL NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4215
SC
225100000X
Physical Therapist
Primary
PT007079
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4215
PHYSICAL THERAPY LICENSE
SC
01
—
PT007079
PHYSICAL THERAPY LICENSE
GA
Enumeration date
10/17/2006
Last updated
02/23/2012
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