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Sean Michael Qualls
Orthotic Fitter in Sacramento, California
NPI 1831978535

Sean Michael Qualls is a Orthotic Fitter based in Sacramento, CA. Sean Michael Qualls practices in Sacramento, CA. The NPI Number for Sean Michael Qualls is 1831978535 and holds a License No. C53905 (California).

The current practice location address for Sean Michael Qualls is 3301 C St, Sacramento, CA and can be reached out via phone at 916-551-3203.

Location: 3301 C St, Sacramento, CA, 95829-6071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831978535
Provider Name
Sean Michael Qualls
Credential
Provider Entity Type
Individual
Gender
Male
Address
3301 C St, Sacramento, CA, 95829-6071
Phone Number
916-551-3203
Fax Number
Provider Enumeration Date
09/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3301 C St
City
Sacramento
State
California
Zip
95816-3300
Phone Number
916-551-3203
Fax Number
person
Provider Business Mailing Address Details
Address
3301 C St
City
Sacramento
State
California
Zip
95816-3300
Phone Number
916-551-3203
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
C53905 (California)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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