Doctor Name: | SEAN CAMPBELL |
NPI Number: | 1508907395 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MASTERS |
License Number: | 05010494A |
Business Practice Address: | 1047 Century Dr Edwardsville, IL - 620253772 |
Business Phone Number: | 6183073434 |
Business Fax Number: | 6183073435 |
Mailing Address: | 1047 Century Dr, EDWARDSVILLE |
State: | IL |
Postal Code: | 620253772 |
Phone Number: | 6183073434 |
Fax Number: | 6183073435 |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 08/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05010494A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |