Sean Deagon Wolven
Sean Deagon Wolven is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices with Dignity Select Nevada LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Nevada.
- Years since qualifying
- 4
- Licensed in
- NV
- In the registry since
- 2022
Practice location Address checks out
9880 W Flamingo Rd Ste 260Las Vegas, NV 89147-8085
Phone: (702) 680-0016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 4940 (NV) |
|---|
Record details
| NPI number | 1780312751 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 9, 2022 |
| Last updated in NPPES | August 10, 2022 |
| Certification date | August 10, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Dignity Select Nevada Llc — 109 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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