Willoughby, Sean

Willoughby, Sean is an individual health care provider with primary practice located at 1 Pearl St Ste 1700 , Brockton MA 02301-2865. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Willoughby, Sean can be contacted via phone (508) 427-0525.

Contact Information

Primary practice address
1 Pearl St Ste 1700 Brockton MA 02301-2865
Phone: (508) 427-0525
Fax: (774) 223-5017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 18114 Massachusetts

Profile Details

NPI number 1336259860
LBN Legal business name Willoughby, Sean
Credentials MSPT, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 10th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336259860 NPPES
Massachusetts MEDICAID 110084875A

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