Provider Demographics
NPI:1073970653
Name:SEIFERT, PAIGE AILEEN (OTR)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:AILEEN
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:AILEEN
Other - Last Name:RANDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:7407 DRAKE CYN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-5416
Mailing Address - Country:US
Mailing Address - Phone:325-650-1972
Mailing Address - Fax:
Practice Address - Street 1:10839 QUARRY PARK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-4681
Practice Address - Country:US
Practice Address - Phone:210-888-7448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-27
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117366225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist