Provider Demographics
NPI:1780721035
Name:BERMAN, SEAN (PT)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:BERMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22001 SOUTHWEST FWY STE 305
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-7001
Mailing Address - Country:US
Mailing Address - Phone:281-344-6975
Mailing Address - Fax:281-344-6970
Practice Address - Street 1:22001 SOUTHWEST FWY STE 305
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-7001
Practice Address - Country:US
Practice Address - Phone:281-344-6975
Practice Address - Fax:281-344-6970
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1145241225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist