Provider Demographics
NPI:1508244542
Name:YOUMANS, SEAN (COTA/L)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:
Last Name:YOUMANS
Suffix:
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4611 W NORTH B ST APT 139
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-1983
Mailing Address - Country:US
Mailing Address - Phone:813-610-0694
Mailing Address - Fax:
Practice Address - Street 1:4611 W NORTH B ST APT 139
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1983
Practice Address - Country:US
Practice Address - Phone:813-610-0694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA11231175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath