Individual
SEAN STEVEN ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,LAT, ATC
Contact information
Practice address
16443 NELSON PARK DR APT 104, CLERMONT, FL 34714-5859
(980) 474-7048
Mailing address
2331 CURRANT ST, FORT MILL, SC 29715-9805
(980) 474-7048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006128
OH
Other
Enumeration date
09/01/2017
Last updated
11/06/2022
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