Provider Demographics
NPI:1225055056
Name:SEABOL, KRISTIN E (OTR)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:E
Last Name:SEABOL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2129 HELTON DR
Mailing Address - Street 2:STE A
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1069
Mailing Address - Country:US
Mailing Address - Phone:256-718-3200
Mailing Address - Fax:256-718-3297
Practice Address - Street 1:2129 HELTON DR
Practice Address - Street 2:STE A
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1069
Practice Address - Country:US
Practice Address - Phone:256-718-3200
Practice Address - Fax:256-718-3297
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0194225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51530150OtherBCBS