Provider Demographics
NPI:1487198792
Name:HARKCOM, SEAN (LAT, ATC)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:
Last Name:HARKCOM
Suffix:
Gender:M
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1593 WINDMILL LN
Mailing Address - Street 2:
Mailing Address - City:BREINIGSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18031-1160
Mailing Address - Country:US
Mailing Address - Phone:610-392-2105
Mailing Address - Fax:
Practice Address - Street 1:1593 WINDMILL LN
Practice Address - Street 2:
Practice Address - City:BREINIGSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18031-1160
Practice Address - Country:US
Practice Address - Phone:610-392-2105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer