Provider Demographics
NPI:1316215114
Name:SEELEY, ABIGAIL LAMB (OTR/L)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:LAMB
Last Name:SEELEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:JOHNSON
Other - Last Name:LAMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:59 ACTON ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-4829
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:59 ACTON ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-4829
Practice Address - Country:US
Practice Address - Phone:508-556-5947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9183225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist