SEAN FACKOVEC

WESTFIELD, NJ
NPI1982489605
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA02188600)
Enumeration Date2023-08-30
Last Update Date2023-08-30
Business Address
SEAN FACKOVEC
105 ELM ST
WESTFIELD, NJ 07090-3143
Phone number: 908-264-7503
Mailing Address
SEAN FACKOVEC
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859
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