MEDICARE: MRS. EILEEN MARIE SEAMES LPTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	06126	OH

General Provider Information

NPI Number	:	1770730749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EILEEN MARIE SEAMES LPTA

Provider Business Mailing Address
First Line	:	3275 S MYERS RD
Second Line	:
City	:	GENEVA
State	:	OH
Zip	:	44041-8228
Country	:	US
Telephone Number	:	440-813-5937
Fax Number	:

Provider Business Practice Location Address
First Line	:	3275 S MYERS RD
Second Line	:
City	:	GENEVA
State	:	OH
Zip	:	44041-8228
Country	:	US
Telephone Number	:	440-813-5937
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2008
Last Update Date	:	08/21/2008

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