MEDICARE: MR. SEAN L. HEBERT PT

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
1	225100000X	Physical Therapist	4339	LA

General Provider Information

NPI Number	:	1518954346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SEAN L. HEBERT PT

Provider Business Mailing Address
First Line	:	305 FIELD CREST PKWY
Second Line	:
City	:	YOUNGSVILLE
State	:	LA
Zip	:	70592-5663
Country	:	US
Telephone Number	:	337-257-9755
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 FIELD CREST PKWY
Second Line	:
City	:	YOUNGSVILLE
State	:	LA
Zip	:	70592-5663
Country	:	US
Telephone Number	:	337-257-9755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	07/08/2007

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Directions to “ MR. SEAN L. HEBERT PT” Practice Location

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