Provider Demographics
NPI:1821429119
Name:KUHN, SEAN WILLIAM JR (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:SEAN
Middle Name:WILLIAM
Last Name:KUHN
Suffix:JR
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4876 SANTA MONICA AVE
Mailing Address - Street 2:# 204
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92107-2811
Mailing Address - Country:US
Mailing Address - Phone:619-578-2880
Mailing Address - Fax:619-578-2880
Practice Address - Street 1:4876 SANTA MONICA AVE
Practice Address - Street 2:# 204
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92107-2811
Practice Address - Country:US
Practice Address - Phone:619-578-2880
Practice Address - Fax:619-578-2880
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-11
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40879225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist