Healthcare Provider Details

I. General information

NPI: 1588588016
Provider Name (Legal Business Name): JASMIN C. SEABERRY OTD/OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 GATEWAY CT APT 407
CHESAPEAKE VA
23320-5077
US

IV. Provider business mailing address

101 GATEWAY CT APT 407
CHESAPEAKE VA
23320-5077
US

V. Phone/Fax

Practice location:
  • Phone: 757-692-5573
  • Fax:
Mailing address:
  • Phone: 757-692-5573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119011096
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: