MEDICARE: SEAN BERMAN P.T

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	1145241	TX

General Provider Information

NPI Number	:	1780721035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN BERMAN P.T

Provider Business Mailing Address
First Line	:	22001 SOUTHWEST FWY STE 305
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-7001
Country	:	US
Telephone Number	:	281-344-6975
Fax Number	:	281-344-6970

Provider Business Practice Location Address
First Line	:	22001 SOUTHWEST FWY STE 305
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77469-7001
Country	:	US
Telephone Number	:	281-344-6975
Fax Number	:	281-344-6970

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

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/12/2020

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Directions to “ SEAN BERMAN P.T” Practice Location

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