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Individual

MICHAEL T SEBASTIAN

Active
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Individual

MICHAEL T SEBASTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT, CSCS

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
008122
CT
2251S0007X
Sports Physical Therapist
17904
MA
2251X0800X
Orthopedic Physical Therapist
008122
CT

Other

Enumeration date
04/09/2009
Last updated
01/23/2012
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