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Individual
MICHAEL SHEEHAN
Active
Individual
MICHAEL SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19248
MA
225100000X
Physical Therapist
4247
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110090312A
—
MA
01
—
19248
PT LICENSE
MA
Enumeration date
04/15/2011
Last updated
10/09/2018
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