Provider Demographics
NPI:1104007103
Name:SELTZER, TERRY LYNNE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:LYNNE
Last Name:SELTZER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 EDDYSTONE CT
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-3296
Mailing Address - Country:US
Mailing Address - Phone:610-916-3026
Mailing Address - Fax:
Practice Address - Street 1:450 PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:SHILLINGTON
Practice Address - State:PA
Practice Address - Zip Code:19607-2731
Practice Address - Country:US
Practice Address - Phone:610-796-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-18
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE001887L225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant