Basic Information
| Provider Information | |||||||||
| NPI: | 1285944231 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEAMAN | ||||||||
| FirstName: | TIMOTHY | ||||||||
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| NamePrefix: | MR. | ||||||||
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| Credential: | OTR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 VORNDRAN DR | ||||||||
| Address2: | |||||||||
| City: | WAPPINGERS FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 125904509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8452985000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 167 MYERS CORNERS RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | WAPPINGERS FALLS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 125903869 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8452985000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/08/2010 | ||||||||
| LastUpdateDate: | 10/08/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 009894 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.