Basic Information
Provider Information
NPI: 1225064330
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SELIGMAN
FirstName: JOYCE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OTR
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 31 OLD ROUTE 7
Address2:  
City: BROOKFIELD
State: CT
PostalCode: 068041714
CountryCode: US
TelephoneNumber: 2037400020
FaxNumber: 2037750238
Practice Location
Address1: 35 TAMARACK AVE
Address2:  
City: DANBURY
State: CT
PostalCode: 068114959
CountryCode: US
TelephoneNumber: 2037301026
FaxNumber: 2037301027
Other Information
ProviderEnumerationDate: 06/23/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X002675CTY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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