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Individual

SEAN MICHAEL MCQUEENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT, ATC, CSCS

Contact information

Practice address
15707 N 83RD AVE, PEORIA, AZ 85382-3827
(623) 776-4854
(623) 776-4826
Mailing address
11950 W FLORES DR, EL MIRAGE, AZ 85335-4304
(623) 466-8348

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
6629
AZ
2255A2300X
Athletic Trainer
0550
AZ

Other

Enumeration date
04/20/2006
Last updated
01/22/2014
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