Healthcare Provider Details
I. General information
NPI: 1548220478
Provider Name (Legal Business Name): SECO OCCUPATIONAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2006
Last Update Date: 08/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26 CONKEY AVE UHS THERAPIES NORWICH
NORWICH NY
13815
US
IV. Provider business mailing address
26 CONKEY AVE BOX 136 EATON CENTER 5TH FLOOR
NORWICH NY
13815
US
V. Phone/Fax
- Phone: 607-334-5010
- Fax: 607-336-7326
- Phone: 607-334-5010
- Fax: 607-336-7326
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
TERESA
SEAGER
Title or Position: PRESIDENT
Credential: OTR
Phone: 607-334-5010