Healthcare Provider Details

I. General information

NPI: 1992784797
Provider Name (Legal Business Name): SECO PHYSICAL & OCCUPATIONAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CARTWRIGHT AVE
SIDNEY NY
13838-1206
US

IV. Provider business mailing address

26 CONKEY AVE STE 136
NORWICH NY
13815-1757
US

V. Phone/Fax

Practice location:
  • Phone: 607-563-2929
  • Fax: 607-563-2930
Mailing address:
  • Phone: 607-334-5010
  • Fax: 607-336-7326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number002359-1
License Number StateNY

VIII. Authorized Official

Name: TERESA A SEAGER I
Title or Position: PRESIDENT
Credential: OTR/L
Phone: 607-334-5010