Healthcare Provider Details

I. General information

NPI: 1619669629
Provider Name (Legal Business Name): JULIANNE M SEITZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 BUFORD RD
NORTH CHESTERFIELD VA
23235-3422
US

IV. Provider business mailing address

PO BOX 412307
BOSTON MA
02241-2307
US

V. Phone/Fax

Practice location:
  • Phone: 804-923-3933
  • Fax: 804-324-2999
Mailing address:
  • Phone: 914-294-4050
  • Fax: 631-760-8306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305215769
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: