| Doctor Name: | DR. SEAN MATTHEW ASP |
| NPI Number: | 1568717064 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | PT.013845 |
| Business Practice Address: | 436 E River St Suite 6 Elyria, OH - 440355200 |
| Business Phone Number: | 4403221667 |
| Business Fax Number: | 4402845987 |
| Mailing Address: | 436 E River St, Suite 6 ELYRIA |
| State: | OH |
| Postal Code: | 440355200 |
| Phone Number: | 4403221667 |
| Fax Number: | 4402845987 |
| NPI Enumeration Date: | 07/20/2012 |
| NPI Last Update Date: | 07/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT.013845 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| 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 |