Individual
MR. SAMUEL SEBOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
462 KENMORE DR, DANVILLE, WV 25053-7133
(304) 369-0986
Mailing address
186 1/2 NIGHBERT AVE, LOGAN, WV 25601-4003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001019
WV
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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