Individual
SEAN KEVIN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
30655 HOOVER RD, WARREN, MI 48093-6537
(586) 574-1200
(586) 574-9425
Mailing address
NOVACARE REHABILITATION 30655 HOOVER RD, WARREN, MI 48093
(586) 574-1200
(586) 574-9425
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
5501302116
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT298262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501302116
LICENSE
MI
01
—
PT298262
LICENSE
CA
Enumeration date
06/11/2020
Last updated
10/04/2022
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