Doctor Name: | SEAN COYE |
NPI Number: | 1164682118 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 4507 |
Business Practice Address: | 17340 Sw Hart Way Aloha, OR - 970075775 |
Business Phone Number: | 5035915363 |
Business Fax Number: | |
Mailing Address: | 17340 Sw Hart Way, ALOHA |
State: | OR |
Postal Code: | 970075775 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/12/2008 |
NPI Last Update Date: | 06/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 4507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |