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Individual

MR. SEAN MCKEOWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11 PADDEN RD, FRANKLIN, MA 02038-3638
(508) 520-1370
Mailing address
11 PADDEN RD, FRANKLIN, MA 02038-3638
(508) 520-1370

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
251
HI
225200000X
Physical Therapy Assistant
8991
MA
225200000X
Physical Therapy Assistant
A1895
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
251
PTA LICENSE
HI
01
8991
PTA LICENSE
MA
01
A1895
PTA LICENSE
MN
Enumeration date
09/10/2015
Last updated
09/10/2015
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