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NPI Code Detail

MEDICARE: DR. SEAN PELZER PT, DPT

MEDICARE: DR. SEAN PELZER PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3927AR

General Provider Information

NPI Number : 1225542749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN PELZER PT, DPT
Provider Business Mailing Address
First Line : 2668 E CITIZENS DR STE 5
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-4796
Country : US
Telephone Number : 512-470-2725
Fax Number :
Provider Business Practice Location Address
First Line : 2668 E CITIZENS DR STE 5
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-4796
Country : US
Telephone Number : 512-470-2725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2017
Last Update Date : 11/20/2017

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Directions to “ DR. SEAN PELZER PT, DPT” Practice Location

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