Individual
MICHAEL T SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, CSCS
Contact information
Practice address
346 MAIN AVE, NORWALK, CT 06851-1510
(203) 847-4400
(203) 847-4442
Mailing address
1536 3RD AVE, 5TH FLOOR, NEW YORK, NY 10028-2167
(212) 861-2630
(212) 861-2685
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
008122
CT
2251S0007X
Sports Physical Therapist
17904
MA
2251X0800X
Orthopedic Physical Therapist
008122
CT
Other
Enumeration date
04/09/2009
Last updated
01/23/2012
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