Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | PT028458 | PA |
N | 213ES0000X | Sports Medicine | PT028458 | PA |
Y | 2251X0800X | Physical Therapist - Orthopedic | PT028458 | PA |
NPI | 1336445907 |
---|---|
Provider Name | Dr. William Gregory Seymour |
First Address | West Grove, PA 19390-9763 |
Second Address | West Grove, PA 19390-9763 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2011 |
Last Update Date | 06/04/2020 |