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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SEAN FACKOVEC

Active Sole Proprietor

SEAN FACKOVEC is a Physical Therapy Assistant healthcare provider located in WESTFIELD, New Jersey. NPI 1982489605 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WESTFIELD, NJ

Registration Details

NPI Number
1982489605
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2023 (2.9506953735588 yrs)
Last Updated
Aug 30, 2023
License
40QA02188600 (NJ)
Sole Proprietor
Yes

Practice Information

Address
105 ELM ST
WESTFIELD, NJ, 070903143
Browse NJ providers · Browse ZIP 07090
Phone
9082647503
Fax
9082647596
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WESTFIELD, NJ

Name Credential NPI
ERIC S BODEN PT, MPT 1730141615
THAO TRAN PT 1184682965
KIRTI MALIK PT 1225063191
HEIDI ACKERMAN PT 1497770846
NANCY A. PIDANE PT 1487679379
ARIADNE FITZPATRICK P.T. 1538172093
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.