Provider Demographics
NPI:1902173800
Name:THOMAS, SEAN (PT,DPT)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:
Last Name:THOMAS
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19697 MARIMAR CT
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3500
Mailing Address - Country:US
Mailing Address - Phone:973-517-3652
Mailing Address - Fax:
Practice Address - Street 1:19697 MARIMAR CT
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3500
Practice Address - Country:US
Practice Address - Phone:973-517-3652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-19
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-00033902251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics