Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 10814 | MA |
Y | 225100000X | Physical Therapist | 4457 | NH |
NPI | 1003027608 |
---|---|
Provider Name | Mr. Jim Lee Seah |
First Address | Exeter, NH 03833-2995 |
Second Address | Exeter, NH 03833-4855 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 11/07/2019 |