Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEAN JERAL CHILDRESS
Active Sole ProprietorSEAN JERAL CHILDRESS is a Physical Therapist Assistant healthcare provider located in CHINO, California. NPI 1356415897 is currently active in the NPPES registry. Verify at CMS.
Physical Therapist Assistant · CHINO, CA
Registration Details
- NPI Number
- 1356415897
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2006 (19.759268049242 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
14880 CENTRAL AVECHINO, CA, 917109509Browse CA providers · Browse ZIP 91710
- Phone
- 9096063237
- Fax
- 9096063958
- Primary Specialty
-
Physical Therapist Assistant
1744P3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.