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Individual
SEAN MICHAEL HUSTED
Active
Individual
SEAN MICHAEL HUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
293721
CA
225100000X
Physical Therapist
P16340
NC
363A00000X
Physician Assistant
Primary
58502
CA
363A00000X
Physician Assistant
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58502
STATE LICENSE
CA
Enumeration date
06/09/2016
Last updated
07/14/2025
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