Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | AT-2119 | OH |
Y | 2251X0800X | Physical Therapist - Orthopedic | PT-10334 | OH |
NPI | 1235320227 |
---|---|
Provider Name | Ms. Stephanie Seeley |
First Address | Cincinnati, OH 45271-0001 |
Second Address | Dayton, OH 45414-5800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 16/03/2012 |