Provider Demographics
NPI:1275120529
Name:SETH, ARVIND
Entity Type:Individual
Prefix:MR
First Name:ARVIND
Middle Name:
Last Name:SETH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 BREAKAWAY TRL
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-7283
Mailing Address - Country:US
Mailing Address - Phone:321-747-0069
Mailing Address - Fax:
Practice Address - Street 1:VERTIS THERAPY SEASIDE MANOR
Practice Address - Street 2:1050 OCEAN SHORE BLVD
Practice Address - City:ORMOND BEACH,
Practice Address - State:FL
Practice Address - Zip Code:32176-4126
Practice Address - Country:US
Practice Address - Phone:317-204-3736
Practice Address - Fax:317-708-6496
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
FL21330225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist