Provider Demographics
NPI:1083827513
Name:SELIGSON, JODIE CARA
Entity Type:Individual
Prefix:
First Name:JODIE
Middle Name:CARA
Last Name:SELIGSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 E GERMANTOWN PIKE
Mailing Address - Street 2:STE. 201
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1558
Mailing Address - Country:US
Mailing Address - Phone:610-941-6101
Mailing Address - Fax:610-941-6107
Practice Address - Street 1:37 E GERMANTOWN PIKE
Practice Address - Street 2:STE. 201
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1558
Practice Address - Country:US
Practice Address - Phone:610-941-6101
Practice Address - Fax:610-941-6107
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005866L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics