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1164014692
SEAN MICHAEL BUITENDORP
CONCORD, NC
NPI
1164014692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC P20081)
Enumeration Date
2021-02-05
Last Update Date
2024-01-28
Business Address
SEAN MICHAEL BUITENDORP DPT
487 LAKE CONCORD RD NE
CONCORD, NC 28025-2934
Phone number: 704-403-0200
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Mailing Address
SEAN MICHAEL BUITENDORP DPT
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-935-8292
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