Most Relevant Information
Provider Data
| NPI Number: | 1003698549 |
| Provider Name: | SEAN CAMPOS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 60343912 |
Most Important Dates
| Enumeration Date: | 10/19/2023 |
| Last Updated: | 10/19/2023 |
Provider Practice Location
8819 W VICTORIA AVE # 110
KENNEWICK
WA
993367193
Practice Location Phone/Fax
| Phone: | 5097831851 |
| Fax: |
Provider Mailing Location
8819 W VICTORIA AVE # 110
KENNEWICK
WA
993367193
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |