Healthcare Provider Details

I. General information

NPI: 1730462987
Provider Name (Legal Business Name): SEAN E CALL DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2011
Last Update Date: 09/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 MAIN ST
WINTERSVILLE OH
43953-3733
US

IV. Provider business mailing address

110 MAIN ST
WINTERSVILLE OH
43953-3734
US

V. Phone/Fax

Practice location:
  • Phone: 740-266-6855
  • Fax: 740-264-4376
Mailing address:
  • Phone: 740-266-6855
  • Fax: 740-264-4376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT013471
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: